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1568984375 NPI number — AMERICAN ACCESS CARE OF ATLANTA ASC LLC

NPI Number: 1568984375
Health Care Provider/Practitioner: AMERICAN ACCESS CARE OF ATLANTA ASC LLC

Information about “1568984375” NPI (AMERICAN ACCESS CARE OF ATLANTA ASC LLC) exists in 1568984375 in HTML format HTML  |  1568984375 in plain Text format TXT  |  1568984375 in PDF (Portable Document Format) PDF  |  1568984375 in an XML format XML  formats.

NPI Number : 1568984375 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1568984375",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "AMERICAN ACCESS CARE OF ATLANTA ASC LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 419861",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BOSTON",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "02241-9861",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "610-644-8900",
    "MailingAddressFaxNumber": "484-924-0053",
    "FirstLinePracticeLocationAddress": "250 E PONCE DELEON AVENUE",
    "SecondLinePracticeLocationAddress": "SUITE 100",
    "PracticeLocationAddressCityName": "DECATUR",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30030-3406",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "404-377-9171",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/13/2017",
    "LastUpdateDate": "09/22/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MILLER",
    "AuthorizedOfficialFirstName": "GREGG",
    "AuthorizedOfficialMiddleName": "ARTHUR",
    "AuthorizedOfficialTitle": "AUTHORIZED OFFICIAL",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "717-515-4048",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QA1903X",
        "TaxonomyName": "Ambulatory Surgical Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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