Advanced Laparoscopic Surgery Associates of Georgia

NPI #1477532786 in Stockbridge, Georgia

Provider Information

NPI Number: 1477532786
Entity Type: Organization
Organization Name: Advanced Laparoscopic Surgery Associates of Georgia
Primary Specialty: Surgery
Enumeration Date: Jan 13, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 150 COUNTRY CLUB DR
Address 2: SUITE 101
City: Stockbridge
State: Georgia
ZIP Code: 30281-7344
Phone: (678) 565-8753

Authorized Official

Name: DR. TIHESHA LONEE WILSON, MD
Title: PRESIDENT/CEO
Phone: (678) 565-8753

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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