Organization · Type 2 NPI

Southlake Ambulatory Surgery Center, LLLP

Ambulatory Surgical Clinic/Center · Jonesboro, GA

NPI number 1508974353 Active

Practice location

7813 Spivey Station Blvd, Suite 100
Jonesboro, GA 30236-0000

Call (770) 268-6000 Map

Fax (770) 268-6001

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 1508974353

Southlake Ambulatory Surgery Center, LLLP's National Provider Identifier is 1508974353, issued on Aug 29, 2006. 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 Jul 25, 2013.