Eagles Landing Surgery, P.c.

NPI #1154551174 in Stockbridge, Georgia

Provider Information

NPI Number: 1154551174
Entity Type: Organization
Organization Name: Eagles Landing Surgery, P.c.
Primary Specialty: Surgery
Enumeration Date: Jul 24, 2009
Last Updated: Jul 24, 2009

Practice Location

Address: 245 VILLAGE CENTER PKWY
Address 2: SUITE 100
City: Stockbridge
State: Georgia
ZIP Code: 30281-9096
Phone: (770) 389-1962

Authorized Official

Name: MRS. ROBIN WALL, RN
Title: REGISTERED NURSE
Phone: (770) 389-1962

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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