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General NPI Number Information
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NPI Number | 1417295528
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Entity Type | Organization
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Legal Business Name | ATLANTA GENERAL AND BARIATRIC SURGERY CENTER, LLC
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Dates
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Enumeration Date | 01/24/2013
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Last Update Date | 01/24/2013
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Provider Practice Location Address
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Address Line | 6300 HOSPITAL PKWY SUITE 150
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City | JOHNS CREEK
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State | GA
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Zip | 30097-1828
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Country | US
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Telephone | 770-232-2911
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Fax | 678-681-1730
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Provider Business Mailing Address
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Address Line | 6300 HOSPITAL PKWY SUITE 150
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City | JOHNS CREEK
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State | GA
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Zip | 30097-1828
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Country | US
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Telephone | 770-232-2911
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Fax | 678-681-1730
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Authorized Official
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Title or Position | MEMBER
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Name | DR. WILLIAM H JOHNSON
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Credential | M.D.
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Telephone | 770-232-2911
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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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