Organization · Type 2 NPI

Orthopedic South Surgical Partners, LLC

Ambulatory Surgical Clinic/Center · Mcdonough, GA

NPI number 1497752745 Active

Practice location

156 Foster Dr Ste A
Mcdonough, GA 30253-5330

Call (678) 422-4230 Map

Other practice locations

6645 Lake Dr, Morrow, GA 30260-2354 · (678) 422-4280

Specialties and licenses

Taxonomy	Code	License
Ambulatory Surgical Clinic/Center Primary	261QA1903X	031-274 (GA)

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

Another provider at this address

Specified Solutions Surgical Associates, Inc.Surgical Physician Assistant Mcdonough, GA NPI 1255700092

NPI record

NPI: 1497752745
Entity type: Organization (Type 2)
Issued: Jul 1, 2005
Last updated: Oct 15, 2024
Status: Active

Other names

<unavail>
Orthopaedic South Surgical Center · doing business as
Orthopaedic South Surgical Center · doing business as

Authorized official

Collin Lemaistre
Officer/authorized Official
(469) 250-3640

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1497752745

Orthopedic South Surgical Partners, LLC's National Provider Identifier is 1497752745, issued on Jul 1, 2005. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Mcdonough, GA. The record was last updated on Oct 15, 2024.