NPI 1063507630

Northeast Georgia Procedure Center LLC

Organisation Ambulatory Surgical Clinic/Center Athens, GA

Practice location

Address: 1620 Prince Ave Suite B, Athens, GA 30606-6008
Phone: (706) 549-8114
Fax: (706) 549-0151
Mailing address: P O Box 80307, Athens, GA 30608-0307

Authorised official

Name: Dawnetta Janene Holladay
Title: Ceo
Phone: (706) 549-8114

Registered specialties

Ambulatory Surgical Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QA1903X Licence 029-303 (GA)

Other Clinic/Center providers in Georgia →

Registry record

NPI: 1063507630
Entity type: Organization
NPI issued: 3 Oct 2006
Record last updated: 11 Feb 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.