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General NPI Number Information
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NPI Number | 1538581897
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Entity Type | Organization
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Legal Business Name | SURGERY CENTER OF ATLANTA, LLC
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Dates
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Enumeration Date | 01/06/2014
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Last Update Date | 04/05/2019
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Provider Practice Location Address
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Address Line | 4200 NORTHSIDE PKWY BLDG 8 SUITE 100
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City | ATLANTA
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State | GA
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Zip | 30327
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Country | US
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Telephone | 404-233-3833
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Fax | 404-233-8447
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Provider Business Mailing Address
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Address Line | 4200 NORTHSIDE PKWY BLDG 8 SUITE 100
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City | ATLANTA
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State | GA
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Zip | 30327
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Country | US
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Telephone | 404-233-3833
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Fax | 404-233-8447
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Authorized Official
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Title or Position | MANAGING PARTNER/AUTHORIZED OFFICIA
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Name | ANTONIO R SILVA
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Credential | M.D.
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Telephone | 404-233-3833
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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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