Buckhead Surgical Associates LLC

NPI #1972843084 in Atlanta, Georgia

Provider Information

NPI Number: 1972843084
Entity Type: Organization
Organization Name: Buckhead Surgical Associates LLC
Primary Specialty: Surgery
Enumeration Date: Feb 26, 2013
Last Updated: Jan 14, 2014

Practice Location

Address: 2061 PEACHTREE RD NE
Address 2: SUITE 300
City: Atlanta
State: Georgia
ZIP Code: 30309-1427
Phone: (404) 350-7955

Authorized Official

Name: DR. J. DEWAYNE COLQUITT, M.D.
Title: OWNER/M.D.
Phone: (404) 350-7955

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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