Provider Demographics
NPI:1316435779
Name:SUMMIT SURGERY CENTER OF BUCKHEAD LLC
Entity type:Organization
Organization Name:SUMMIT SURGERY CENTER OF BUCKHEAD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ACQUAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:678-701-2225
Mailing Address - Street 1:PO BOX 675904
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30006-0023
Mailing Address - Country:US
Mailing Address - Phone:678-701-2225
Mailing Address - Fax:678-812-0467
Practice Address - Street 1:2045 PEACHTREE RD NE STE T2
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1405
Practice Address - Country:US
Practice Address - Phone:678-701-2225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-01
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical