NPI 1063714814

Surgical Health Collective

Organisation Specialist Atlanta, GA

Practice location

Address: 777 Cleveland Ave SW Suite 305, Atlanta, GA 30315-7129
Phone: (404) 761-7482

Authorised official

Name: Mark Lamont Walker
Title: Medical Director
Phone: (404) 761-7482

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 026953 (GA)

Other Specialist providers in Georgia →

Registry record

NPI: 1063714814
Entity type: Organization
NPI issued: 30 Nov 2010
Record last updated: 30 Nov 2010

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.