Organization
NORTH GEORGIA SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYDIA HENDERSON (COMPLIANCE OFFICER)
(706) 278-0351
Entity
Organization
Contact information
Practice address
1107 BROADRICK DR, DALTON, GA 30720-2592
(706) 278-0351
(706) 226-5195
Mailing address
1107 BROADRICK DR, DALTON, GA 30720-2592
(706) 278-0351
(706) 226-5195
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
GA
Other
Enumeration date
09/14/2006
Last updated
08/22/2020
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