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Advanced Surgical Specialists Of Northeast Georgia, Llc
Specialist in Conyers, Georgia
NPI 1346420858

Advanced Surgical Specialists Of Northeast Georgia, Llc is a Specialist based in Conyers, GA. Advanced Surgical Specialists Of Northeast Georgia, Llc practices in Conyers, GA. The NPI Number for Advanced Surgical Specialists Of Northeast Georgia, Llc is 1346420858 and holds a License No. 033440 (Georgia).

The current practice location address for Advanced Surgical Specialists Of Northeast Georgia, Llc is 1359 Milstead Rd Ne, Conyers, GA and can be reached out via phone at 678-413-2182 and via fax at 678-413-2184.

Location: 1359 Milstead Rd Ne, Conyers, GA, 30012-3865
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1346420858
Provider Name
Advanced Surgical Specialists Of Northeast Georgia, Llc
Credential
Provider Entity Type
Organization
Address
1359 Milstead Rd Ne, Conyers, GA, 30012-3865
Phone Number
678-413-2182
Fax Number
678-413-2184
Provider Enumeration Date
11/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000458092C 05 GA
DE9275 01 GA MEDICARE RAILROAD GROUP
institution
Provider Business Practice Location Address Details
Address
1359 Milstead Rd Ne
City
Conyers
State
Georgia
Zip
30012-3865
Phone Number
678-413-2182
Fax Number
678-413-2184
person
Provider Business Mailing Address Details
Address
1359 Milstead Rd Ne
City
Conyers
State
Georgia
Zip
30012-3865
Phone Number
678-413-2182
Fax Number
678-413-2184
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
033440 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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