Organization · Type 2 NPI
Asc of Baucom & Mina Derm Surgery Johns Creek LLC
Ambulatory Surgical Clinic/Center · Johns Creek, GA
NPI number
1013601517
Active
Practice location
10750 Medlock Bridge Rd Ste 102
Johns Creek, GA 30097-1705
Fax (404) 844-0499
Mailing address
5555 Peachtree Dunwoody Rd Ste 206
Atlanta, GA 30342-1711
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1013601517
Asc of Baucom & Mina Derm Surgery Johns Creek LLC's National Provider Identifier is 1013601517, issued on Jun 7, 2023. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Johns Creek, GA. The record was last updated on Dec 13, 2023.