Surgicare Gwinnett
NPI #1164833398 in Loganville, Georgia
Provider Information
- NPI Number
- 1164833398
- Entity Type
- Organization
- Organization Name
- Surgicare Gwinnett
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- May 9, 2014
- Last Updated
- May 20, 2014
Practice Location
- Address
- 367 ATHENS HWY
- Address 2
- BLD 100 SUITE B
- City
- Loganville
- State
- Georgia
- ZIP Code
- 30052-2204
- Phone
- (678) 466-6760
Authorized Official
- Name
- DR. CHRISTOPHER IBIKUNLE
- Title
- ADMINISTRATOR
- Phone
- (678) 466-6760
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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