Organization
PIEDMONT SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKELL PEED (CEO)
(478) 471-6300
Entity
Organization
Contact information
Practice address
4660 RIVERSIDE PARK BLVD, MACON, GA 31210-1395
(478) 471-6300
(478) 471-6240
Mailing address
PO BOX 18065, MACON, GA 31209-8065
(478) 471-6300
(478) 471-6240
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
011-057
GA
Other
Enumeration date
03/05/2007
Last updated
08/22/2020
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