Georgia Lithotripsy And Laser Center in Athens - Ambulatory Surgical
Georgia Lithotripsy And Laser Center - NPI 1386739498
Georgia Lithotripsy And Laser Center is a Ambulatory Surgical in Athens, Georgia. Georgia Lithotripsy And Laser Center practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Georgia Lithotripsy And Laser Center is 1386739498. The last update date is 2008-11-05.
Georgia Lithotripsy And Laser Center's current location address is 120 Trinity Pl, Athens, Georgia. You can contact this provider via phone number 7065432718 and fax number 7063533709. The mailing address for Georgia Lithotripsy And Laser Center is 120 Trinity Pl, Athens, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Georgia Lithotripsy And Laser Center |
|---|---|
| Address | 120 Trinity Pl, Athens, Georgia |
| Phone Number | 7065432718 |
| Fax Number | 7063533709 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Allen C David |
| Telephone Number | 7065432718 |
NPI Number Detail
| NPI Number | 1386739498 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2008-11-05 |
Provider Mailing Address Detail
| Address | 120 Trinity Pl |
|---|---|
| City | Athens |
| State | Georgia (GA) |
| Post Code | 306072100 |
| Phone Number | 7065432718 |
| Fax Number | 7063533709 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 590 | GA | BLUE CROSS BLUE SHIELD | |
| 00451316A | GA | -- | |
| 581596177001 | GA | CHAMPUS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Georgia Lithotripsy And Laser Center by the Centers for Medicare & Medicaid Services?
The Georgia Lithotripsy And Laser Center has been issued the NPI (National Provider Identifier) 1386739498, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Georgia Lithotripsy And Laser Center's physical address?
The Georgia Lithotripsy And Laser Center is physically located at 120 Trinity Pl, in the city of Athens, GA, with the postal code 306072100.
What is Georgia Lithotripsy And Laser Center's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Georgia Lithotripsy And Laser Center is Ambulatory Surgical, and the taxonomy code that categorizes this field of expertise is 261Qa1903X.
On what date did the Georgia Lithotripsy And Laser Center receive the assignment of its 1386739498 from the Centers for Medicare & Medicaid Services?
The Georgia Lithotripsy And Laser Center was issued its 1386739498 by the Centers for Medicare & Medicaid Services on 2006-10-04.
As of what date were the details pertaining to Georgia Lithotripsy And Laser Center last refreshed?
The information related to the Georgia Lithotripsy And Laser Center, including its address, specialty, and other relevant details, was last updated on 2008-11-05.