Georgia Surgicare
NPI #1508150509 in Loganville, Georgia
Provider Information
- NPI Number
- 1508150509
- Entity Type
- Organization
- Organization Name
- Georgia Surgicare
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Jun 7, 2011
- Last Updated
- Mar 20, 2015
Practice Location
- Address
- 367 ATHENS HWY
- Address 2
- BUILDING 100 SUITE 100A
- City
- Loganville
- State
- Georgia
- ZIP Code
- 30052-2204
- Phone
- (678) 466-6760
Authorized Official
- Name
- CHRISTOPHER IBIKUNLE, MD
- Title
- CEO
- Phone
- (678) 466-6760
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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