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General NPI Number Information
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NPI Number | 1952213472
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Entity Type | Organization
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Legal Business Name | SURGERY CENTER LLC
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 600 PEACHTREE ST NE STE 410
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City | ATLANTA
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State | GA
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Zip | 30308-2204
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Country | US
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Telephone | 866-841-2730
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Fax | 866-841-2730
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Provider Business Mailing Address
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Address Line | 600 PEACHTREE ST NE STE 410
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City | ATLANTA
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State | GA
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Zip | 30308-2204
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Country | US
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Telephone | 866-841-2730
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Fax | 866-841-2730
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. MADISON SIEGFRIED
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Credential | MD
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Telephone | 866-841-2730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number |
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License Number State |
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