Organization · Type 2 NPI

Premier Surgical Pavilion of Atlanta LLC

Ambulatory Surgical Clinic/Center · Atlanta, GA

NPI number 1104301274 Active

Practice location

1 Baltimore Pl NW Ste 400
Atlanta, GA 30308-2117

Mailing address

PO Box 1970
New York, NY 10156-1970

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed

Ambulatory Surgical Clinic/Center: Definition to come...

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About NPI 1104301274

Premier Surgical Pavilion of Atlanta LLC's National Provider Identifier is 1104301274, issued on Sep 25, 2018. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Atlanta, GA. The record was last updated on Sep 25, 2018.