Organization · Type 2 NPI

Lake Spivey Ambulatory Surgery Care, LLC

Ambulatory Surgical Clinic/Center · Jonesboro, GA

NPI number 1487012480 Active

Practice location

7813 Spivey Station Blvd, Suite 100
Jonesboro, GA 30236-2900

Mailing address

11 Upper Riverdale Rd SW
Riverdale, GA 30274-2615

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903X031127 (GA)

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

7 other providers at this address

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About NPI 1487012480

Lake Spivey Ambulatory Surgery Care, LLC's National Provider Identifier is 1487012480, issued on Feb 4, 2016. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Jonesboro, GA. The record was last updated on Feb 4, 2016.