Provider Demographics
NPI:1992568711
Name:GEORGIA BMI SURGERY CENTER
Entity type:Organization
Organization Name:GEORGIA BMI SURGERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:AMIR
Authorized Official - Middle Name:H
Authorized Official - Last Name:ARYAIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-512-6648
Mailing Address - Street 1:7985 ROBERTS DR
Mailing Address - Street 2:
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30350-4128
Mailing Address - Country:US
Mailing Address - Phone:404-512-6648
Mailing Address - Fax:
Practice Address - Street 1:2303 CUMBERLAND PKWY SE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-7004
Practice Address - Country:US
Practice Address - Phone:678-626-0909
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical