Organization
GWINNETT ADVANCED SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE J HERNANDEZ (VP OF ADM SERVICES AND CCO)
(404) 851-6968
Entity
Organization
Contact information
Practice address
2306 WISTERIA DR STE 100, SNELLVILLE, GA 30078-2658
(770) 979-8200
Mailing address
1000 JOHNSON FERRY RD NE, ATLANTA, GA 30342-1606
(404) 851-8000
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/18/2012
Last updated
11/17/2023
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