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Organization

ISPM ASC AT CAMP CREEK LLC

Active
Other names
Alliance Surgery Center at Camp Creek
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBIN JAMES FOWLER M.D. (OWNER/MEDICAL DIRECTOR)
(404) 920-4950
Entity
Organization

Contact information

Practice address
3885 PRINCETON LAKES WAY SW, STE 400, ATLANTA, GA 30331-5589
(404) 920-4950
(404) 920-4959
Mailing address
PO BOX 11407 DEPT 2330, BIRMINGHAM, AL 35246-0001
(404) 920-4950
(404) 920-4959

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
01/28/2013
Last updated
02/29/2020
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