Organization
NOVAMED MANAGEMENT SERVICES LLC
Active
Other names
Atlanta Eye Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
3200 DOWNWOOD CIR NW, STE 200, ATLANTA, GA 30327-1610
(404) 351-1990
(404) 355-8797
Mailing address
3200 DOWNWOOD CIR NW, SUITE 200, ATLANTA, GA 30327-1610
(404) 351-1990
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
060-209
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000890667A
—
GA
01
—
490004881
RR MEDICARE
—
01
—
P00164715
RR MEDICARE
GA
Enumeration date
05/23/2005
Last updated
03/31/2023
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