Organization
COBBLESTONE SURGERY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCUS CRAWFORD MD (PRESIDENT)
(770) 794-6643
Entity
Organization
Contact information
Practice address
3450 ACWORTH DUE WEST RD NW, BLDG. 200, SUITE 100, KENNESAW, GA 30144-1078
(770) 794-6643
(770) 794-6683
Mailing address
3450 ACWORTH DUE WEST RD NW, BLDG. 200, SUITE 100, KENNESAW, GA 30144-1078
(770) 794-6643
(770) 794-6683
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
LNRASC2014004
GA
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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