ASC OF BAUCOM & MINA DERM SURGERY JOHNS CREEK LLC

JOHNS CREEK, GA
NPI1013601517
Entity TypeOrganization
Authorized ContactMARK F BAUCOM
Owner
404-844-0496
Organization Subpart ?No
Primary Taxonomy261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date2023-06-07
Last Update Date2023-12-13
Business Address
ASC OF BAUCOM & MINA DERM SURGERY JOHNS CREEK LLC
10750 MEDLOCK BRIDGE RD STE 102
JOHNS CREEK, GA 30097-1705
Phone number: 470-545-2124
Mailing Address
ASC OF BAUCOM & MINA DERM SURGERY JOHNS CREEK LLC
5555 PEACHTREE DUNWOODY RD STE 206
ATLANTA, GA 30342-1711
Phone number: 404-844-0496
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