Organization
BUCKHEAD SURGICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J. DEWAYNE COLQUITT M.D. (OWNER/M.D.)
(404) 350-7955
Entity
Organization
Contact information
Practice address
2061 PEACHTREE RD NE, SUITE 300, ATLANTA, GA 30309-1427
(404) 350-7955
(404) 350-9115
Mailing address
2061 PEACHTREE RD NE, SUITE 300, ATLANTA, GA 30309-1427
(404) 350-7955
(404) 350-9115
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
41097
GA
Other
Enumeration date
02/26/2013
Last updated
01/14/2014
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