Provider Demographics
NPI:1154352847
Name:ATLANTA SURGERY CENTERS
Entity type:Organization
Organization Name:ATLANTA SURGERY CENTERS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DUIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-816-3000
Mailing Address - Street 1:790 CHURCH ST NE
Mailing Address - Street 2:SUITE 530
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-7282
Mailing Address - Country:US
Mailing Address - Phone:770-422-0960
Mailing Address - Fax:770-792-0381
Practice Address - Street 1:790 CHURCH ST NE
Practice Address - Street 2:SUITE 530
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-7282
Practice Address - Country:US
Practice Address - Phone:770-422-0960
Practice Address - Fax:770-792-0381
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE PHYSICIANS' SPINE AND REHABILITATION SPECIALISTS OF GEORGIA, P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-05
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAASC041261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA033-214OtherDHR PERMIT
GAASC041OtherSTATE LICENSE