NPI 1124571104
Urology Surgery Center Johns Creek LLC
Practice location
- Address
- 10730 Medlock Bridge Rd Suite 120, Johns Creek, GA 30097-1705
- Phone
- (678) 344-8900
- Fax
- (678) 666-5201
- Mailing address
- 1551 Janmar Rd, Snellville, GA 30078-5606
Authorised official
- Name
- Beemal Shah
- Title
- Ceo
- Phone
- (706) 951-8657
Registered specialties
Ambulatory Surgical Clinic/Center
Primary
Registry record
- NPI
- 1124571104
- Entity type
- Organization
- NPI issued
- 26 Jul 2016
- Record last updated
- 2 Jan 2025
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.