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General NPI Number Information
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NPI Number | 1568840528
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Entity Type | Organization
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Legal Business Name | ALPHARETTA SURGERY CENTER LLC
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Dates
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Enumeration Date | 05/11/2015
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Last Update Date | 10/23/2023
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Provider Practice Location Address
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Address Line | 2365 OLD MILTON PKWY SUITE 100
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City | ALPHARETTA
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State | GA
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Zip | 30009-2140
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Country | US
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Telephone | 770-740-1860
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Fax |
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Provider Business Mailing Address
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Address Line | 2365 OLD MILTON PKWY SUITE 100
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City | ALPHARETTA
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State | GA
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Zip | 30009-2140
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Country | US
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Telephone | 770-740-1860
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOHN H LLOYD
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Credential | M.D.
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Telephone | 770-740-1860
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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 | 060137
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License Number State | GA
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