East West Surgery Center Lp

NPI 1366444929 - Clinic/Center - 261QA1903X

NPI Details
NPI 1366444929
Enumeration Date 08/12/2005
Last Updated 05/22/2015
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name KATHERINE L KATHERINE
Position OFFICER, AUTHORIZED OFFICIAL
Phone (678) 309-8100
Fax (678) 309-8101
Practice Location
2041 MESA VALLEY WAY
STE 125
AUSTELL GA, 30106-6828, US
Phone (678) 309-8100
Fax (678) 309-8101
Business Location
2041 MESA VALLEY WAY
STE 125
AUSTELL GA, 30106-6828, US
Phone (678) 309-8100
Fax (678) 309-8101
Toxanomy
Taxonomy Code 261QA1903X
License State Georgia
License Number 033202
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According to our database, East West Surgery Center Lp NPI is 1366444929, taxonomy code is 261QA1903X and license number is 033202, license state is located at Georgia. East West Surgery Center Lp physically located at 2041 Mesa Valley Way, Austell GA, 30106-6828. NPI Number 1033115704 has the healthcare provider type.

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1366444929 NPI number is provided on an as is basis without warranty of any kind. 1366444929 is maintained by the National Plan & Provider Enumeration System. The contents of East West Surgery Center Lp are for informational purposes only.