institution
Southlake Ambulatory Surgery Center, Lllp
Ambulatory Surgical Clinic/Center in Jonesboro, Georgia
NPI 1508974353

Southlake Ambulatory Surgery Center, Lllp is an Ambulatory Surgical Clinic/Center based in Riverdale, GA and is specialized in Ambulatory Surgical. Southlake Ambulatory Surgery Center, Lllp practices in Jonesboro, GA. The NPI Number for Southlake Ambulatory Surgery Center, Lllp is 1508974353 and holds a License No. 031127 (Georgia).

The current practice location address for Southlake Ambulatory Surgery Center, Lllp is 7813 Spivey Station Blvd, Jonesboro, GA and can be reached out via phone at 770-268-6000 and via fax at 770-268-6001.

Location: 7813 Spivey Station Blvd, Jonesboro, GA, 30274-2615
institution
Provider Profile Details
NPI Number
1508974353
Provider Name
Southlake Ambulatory Surgery Center, Lllp
Credential
Provider Entity Type
Organization
Address
7813 Spivey Station Blvd, Jonesboro, GA, 30274-2615
Phone Number
770-268-6000
Fax Number
770-268-6001
Provider Enumeration Date
08/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00973046A 05 GA
306743 05 GA
institution
Provider Business Practice Location Address Details
Address
7813 Spivey Station Blvd
City
State
Zip
30236-0000
Phone Number
770-268-6000
Fax Number
770-268-6001
person
Provider Business Mailing Address Details
Address
7813 Spivey Station Blvd
City
State
Zip
30236-0000
Phone Number
770-268-6000
Fax Number
770-268-6001
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
031127 (Georgia)
Definition
Definition to come...
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