Organization
GWINNETT CENTER FOR OUTPATIENT SURGERY LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD L SHARFF JR. (VP/SECRETARY)
(205) 545-2572
Entity
Organization
Contact information
Practice address
2131 FOUNTAIN DR, SNELLVILLE, GA 30078-2920
(707) 979-8200
Mailing address
2131 FOUNTAIN DR, SNELLVILLE, GA 30078-2920
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/01/2006
Last updated
05/26/2009
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