Northeast Georgia Procedure Center Llc in Athens - Ambulatory Surgical
Northeast Georgia Procedure Center Llc - NPI 1063507630
Northeast Georgia Procedure Center Llc is a Ambulatory Surgical in Athens, Georgia. Northeast Georgia Procedure Center Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Northeast Georgia Procedure Center Llc is 1063507630. The last update date is 2013-02-11.
Northeast Georgia Procedure Center Llc's current location address is P O Box 80307, Athens, Georgia. You can contact this provider via phone number 7065498114 and fax number 7065490151. The mailing address for Northeast Georgia Procedure Center Llc is P O Box 80307, Athens, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northeast Georgia Procedure Center Llc |
|---|---|
| Address | P O Box 80307, Athens, Georgia |
| Phone Number | 7065498114 |
| Fax Number | 7065490151 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Holladay Janene Dawnetta |
| Credentials | M.D. |
| Telephone Number | 7065498114 |
NPI Number Detail
| NPI Number | 1063507630 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2013-02-11 |
Provider Mailing Address Detail
| Address | P O Box 80307 |
|---|---|
| City | Athens |
| State | Georgia (GA) |
| Post Code | 306080307 |
| Phone Number | 7065498114 |
| Fax Number | 7065490151 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 029-303 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 938358734A | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Northeast Georgia Procedure Center Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Northeast Georgia Procedure Center Llc has been assigned the NPI (National Provider Identifier) 1063507630. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Northeast Georgia Procedure Center Llc is geographically located?
The Northeast Georgia Procedure Center Llc is physically situated at the following location: P O Box 80307, Athens, GA, 306080307.
What is Northeast Georgia Procedure Center Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Northeast Georgia Procedure Center Llc is Ambulatory Surgical, and the taxonomy code that classifies this field of practice is 261Qa1903X.
On what date did Northeast Georgia Procedure Center Llc receive its 1063507630 assignment from the Centers for Medicare & Medicaid Services?
The Northeast Georgia Procedure Center Llc was assigned its 1063507630 on 2006-10-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Northeast Georgia Procedure Center Llc's information last updated?
The Northeast Georgia Procedure Center Llc's information was last updated on 2013-02-11.
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