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Ispm Asc At Covington, Llc
Ambulatory Surgical Clinic/Center in Covington, Georgia
NPI 1528297140

Ispm Asc At Covington, Llc is an Ambulatory Surgical Clinic/Center based in Birmingham, GA and is specialized in Ambulatory Surgical. Ispm Asc At Covington, Llc practices in Covington, GA. The NPI Number for Ispm Asc At Covington, Llc is 1528297140 and holds a License No. (Georgia).

The current practice location address for Ispm Asc At Covington, Llc is 5303 Adams Street, Covington, GA and can be reached out via phone at 770-929-9033 and via fax at 770-929-9092.

Location: 5303 Adams Street, Covington, GA, 35246-2338
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528297140
Provider Name
Ispm Asc At Covington, Llc
Credential
Provider Entity Type
Organization
Address
5303 Adams Street, Covington, GA, 35246-2338
Phone Number
770-929-9033
Fax Number
770-929-9092
Provider Enumeration Date
07/02/2009
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003127119A 05 GA
institution
Provider Business Practice Location Address Details
Address
5303 Adams Street
City
Covington
State
Georgia
Zip
30014
Phone Number
770-929-9033
Fax Number
770-929-9092
person
Provider Business Mailing Address Details
Address
5303 Adams Street
City
Covington
State
Georgia
Zip
30014
Phone Number
770-929-9033
Fax Number
770-929-9092
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
261QA1903X
License No.
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Definition
Definition to come...
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