Southlake Ambulatory Surgery Center, Lllp

NPI #1508974353 in Jonesboro, Georgia

Provider Information

NPI Number
1508974353
Entity Type
Organization
Organization Name
Southlake Ambulatory Surgery Center, Lllp
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Aug 29, 2006
Last Updated
Jul 25, 2013

Practice Location

Address
7813 SPIVEY STATION BLVD
Address 2
SUITE 100
State
Georgia
ZIP Code
30236-0000
Phone
(770) 268-6000

Authorized Official

Name
MR. JOHN R MCLAIN
Title
EXECUTIVE VP & COO
Phone
(770) 991-8000

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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