institution
East West Surgery Center Lp
Ambulatory Surgical Clinic/Center in Austell, Georgia
NPI 1366444929

East West Surgery Center Lp is an Ambulatory Surgical Clinic/Center based in Austell, GA and is specialized in Ambulatory Surgical. East West Surgery Center Lp practices in Austell, GA. The NPI Number for East West Surgery Center Lp is 1366444929 and holds a License No. 033202 (Georgia).

The current practice location address for East West Surgery Center Lp is 2041 Mesa Valley Way, Austell, GA and can be reached out via phone at 678-309-8100 and via fax at 678-309-8101.

Location: 2041 Mesa Valley Way, Austell, GA, 30106-6828
institution
Provider Profile Details
NPI Number
1366444929
Provider Name
East West Surgery Center Lp
Credential
Provider Entity Type
Organization
Address
2041 Mesa Valley Way, Austell, GA, 30106-6828
Phone Number
678-309-8100
Fax Number
678-309-8101
Provider Enumeration Date
08/12/2005
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
166-510-500 01 GA DEPT OF LABOR
490005006 01 GA RR MEDICARE
00897047A 05 GA
51795413002 01 GA BLUE CROSS
68-00053 01 GA UNITED HEALTHCARE
2377093 01 GA AETNA H/POS
327221 01 GA MEDICAID WELLCARE
7467086 01 GA AETNA PPO
institution
Provider Business Practice Location Address Details
Address
2041 Mesa Valley Way
City
State
Zip
30106-6828
Phone Number
678-309-8100
Fax Number
678-309-8101
person
Provider Business Mailing Address Details
Address
2041 Mesa Valley Way
City
State
Zip
30106-6828
Phone Number
678-309-8100
Fax Number
678-309-8101
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
033202 (Georgia)
Definition
Definition to come...
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