Provider Demographics
NPI:1386793180
Name:MIDTOWN SURGICAL ASSOCIATES,INC
Entity type:Organization
Organization Name:MIDTOWN SURGICAL ASSOCIATES,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SURGICAL ASST.
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:G
Authorized Official - Last Name:MERCER
Authorized Official - Suffix:
Authorized Official - Credentials:CFA
Authorized Official - Phone:404-210-1033
Mailing Address - Street 1:308 WYNGATE RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30011-2930
Mailing Address - Country:US
Mailing Address - Phone:404-210-1033
Mailing Address - Fax:770-963-4890
Practice Address - Street 1:308 WYNGATE RD
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:GA
Practice Address - Zip Code:30011-2930
Practice Address - Country:US
Practice Address - Phone:404-210-1033
Practice Address - Fax:770-963-4890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical TechnologistGroup - Multi-Specialty