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General NPI Number Information
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NPI Number | 1316435779
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Entity Type | Organization
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Legal Business Name | SUMMIT SURGERY CENTER OF BUCKHEAD LLC
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Dates
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Enumeration Date | 05/01/2018
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Last Update Date | 04/01/2021
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Provider Practice Location Address
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Address Line | 2045 PEACHTREE RD NE STE T2
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City | ATLANTA
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State | GA
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Zip | 30309-1405
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Country | US
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Telephone | 678-701-2225
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 675904
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City | MARIETTA
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State | GA
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Zip | 30006-0023
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Country | US
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Telephone | 678-701-2225
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Fax | 678-812-0467
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. FRANCIS ACQUAH
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Credential | MD
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Telephone | 678-701-2225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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