Clayton Outpatient Surgical Center

NPI #1538166012 in Jonesboro, Georgia

Provider Information

NPI Number
1538166012
Entity Type
Organization
Organization Name
Clayton Outpatient Surgical Center
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Jun 30, 2005
Last Updated
Aug 12, 2010

Practice Location

Address
6911 TARA BLVD
Address 2
SUITE 104
State
Georgia
ZIP Code
30236-1503
Phone
(770) 477-9535

Authorized Official

Name
DR. STANLEY KALISH, DPM
Title
MEDICAL DIRECTOR
Phone
(770) 477-9535

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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