Gleneagles Surgery, PC

NPI #1437170347 in Stockbridge, Georgia

Provider Information

NPI Number: 1437170347
Entity Type: Organization
Organization Name: Gleneagles Surgery, PC
Primary Specialty: Specialist
Enumeration Date: Jul 23, 2006
Last Updated: Dec 12, 2007

Practice Location

Address: 1215 EAGLES LANDING PKWY
Address 2: #105
City: Stockbridge
State: Georgia
ZIP Code: 30281-7279
Phone: (770) 506-2080

Authorized Official

Name: MS. PIA BERKS
Title: BILLER
Phone: (770) 506-2080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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