Lake Spivey Ambulatory Surgery Care, LLC

NPI #1487012480 in Jonesboro, Georgia

Provider Information

NPI Number
1487012480
Entity Type
Organization
Organization Name
Lake Spivey Ambulatory Surgery Care, LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Feb 4, 2016
Last Updated
Feb 4, 2016

Practice Location

Address
7813 SPIVEY STATION BLVD
Address 2
SUITE 100
State
Georgia
ZIP Code
30236-2900
Phone
(770) 268-6000

Authorized Official

Name
CHRISTOPHER DOAN
Title
CHIEF COMPLIANCE COUNSEL
Phone
(909) 235-4307

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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