Atlanta Minimally Invasive Surgical Assoc Llc

NPI 1144641291 - Surgery - 208600000X

NPI Details
NPI 1144641291
Enumeration Date 12/16/2013
Last Updated 12/16/2013
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name VIJAYKUMAR G VIJAYKUMAR
Position OWNER/PRESIDENT
Phone (770) 378-2449
Fax (770) 252-8425
Practice Location
1136 CLEVELAND AVE
SUITE 611
EAST POINT GA, 30344-3618, US
Phone (770) 378-2449
Fax (770) 252-8425
Business Location
PO BOX 3335
PEACHTREE CITY GA, 30269-7335, US
Phone (770) 378-2449
Fax (770) 252-8425
Toxanomy
Taxonomy Code 208600000X
License State Georgia
License Number 043259
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According to our database, Atlanta Minimally Invasive Surgical Assoc Llc NPI is 1144641291, taxonomy code is 208600000X and license number is 043259, license state is located at Georgia. Atlanta Minimally Invasive Surgical Assoc Llc physically located at 1136 Cleveland Ave, East Point GA, 30344-3618. NPI Number 1033115704 has the healthcare provider type.

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1144641291 NPI number is provided on an as is basis without warranty of any kind. 1144641291 is maintained by the National Plan & Provider Enumeration System. The contents of Atlanta Minimally Invasive Surgical Assoc Llc are for informational purposes only.