Healthcare Provider Details

I. General information

NPI: 1992568711
Provider Name (Legal Business Name): GEORGIA BMI SURGERY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2024
Last Update Date: 02/05/2024
Certification Date: 02/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2303 CUMBERLAND PKWY SE
ATLANTA GA
30339-7004
US

IV. Provider business mailing address

7985 ROBERTS DR
SANDY SPRINGS GA
30350-4128
US

V. Phone/Fax

Practice location:
  • Phone: 678-626-0909
  • Fax:
Mailing address:
  • Phone: 404-512-6648
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. AMIR H ARYAIE
Title or Position: CEO
Credential: MD
Phone: 404-512-6648