Ortho Atlanta Surgery Center of Fayetteville
NPI #1447630876 in Fayetteville, Georgia
Provider Information
- NPI Number
- 1447630876
- Entity Type
- Organization
- Organization Name
- Ortho Atlanta Surgery Center of Fayetteville
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jun 1, 2015
- Last Updated
- Jun 1, 2015
Practice Location
- Address
- 1265 HIGHWAY 54 W STE 103
- City
- Fayetteville
- State
- Georgia
- ZIP Code
- 30214-4537
- Phone
- (678) 673-5108
Authorized Official
- Name
- BRIAN YOUNG
- Title
- ADMINISTRATOR
- Phone
- (678) 673-5108
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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