Southeastern Surgical Center

NPI #1144388174 in Atlanta, Georgia

Provider Information

NPI Number: 1144388174
Entity Type: Organization
Organization Name: Southeastern Surgical Center
Primary Specialty: Clinic/Center - Ambulatory Fertility Facility
Enumeration Date: Dec 4, 2006
Last Updated: Aug 3, 2011

Practice Location

Address: 1100 JOHNSON FERRY ROAD
Address 2: SUITE 200
City: Atlanta
State: Georgia
ZIP Code: 30342
Phone: (404) 257-1900

Authorized Official

Name: MR. H RON H DAVIDSON
Title: EXECUTIVE ADMINISTRATOR
Phone: (404) 459-3473

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Ambulatory Fertility Facility — Ambulatory Fertility Facility	261QA0006X	Primary

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