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NPI Provider: 1861527616
Contact Name: Escalera A Gustavo
Position: President CEO Surgery South PC
Phone: (770) 474-7287
Surgery South Pc Information:
Surgery South Pc organization have npi 1861527616, taxonomy code is 208600000X with license number is in . This Business address located in 4000 Corporate Center Drive, Morrow, GA 30260 Georgia.
Practice Location
Address: 4000 Corporate Center Drive, Morrow, GA 30260
Phone: (770) 474-7287
Business Location
Address: 4000 Corporate Center Drive, Morrow, GA 30260
Phone: (770) 474-7287
Fax: (770) 389-3713
Taxonomy
Taxonomy Code: 208600000X
License Number:
License Number of State:
Primary Taxonomy Switch: Y
Enumeration Date: 2/22/2007
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