Organization
LAKEVIEW SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANDRESH VIRADIA MD (CEO)
(478) 971-4001
Entity
Organization
Contact information
Practice address
100 JIM MASON CT, SUITE B, WARNER ROBINS, GA 31088-8965
(478) 971-4001
(478) 971-4004
Mailing address
100 JIM MASON CT, SUITE B, WARNER ROBINS, GA 31088-8965
(478) 971-4001
(478) 971-4004
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
076-442
GA
Other
Enumeration date
10/26/2010
Last updated
05/11/2015
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