ISPM ASC AT COVINGTON, LLC

COVINGTON, GA
NPI1558605204
Entity TypeOrganization
Authorized ContactROBIN J FOWLER
Owner
770-929-9033
Organization Subpart ?No
Primary Taxonomy261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date2012-11-19
Last Update Date2012-11-21
Business Address
ISPM ASC AT COVINGTON, LLC
5303 ADAMS ST NE STE C
COVINGTON, GA 30014-6209
Phone number: 678-729-8590
Mailing Address
ISPM ASC AT COVINGTON, LLC
PO BOX 935100
ATLANTA, GA 31193-5100
Phone number: 678-729-8590
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