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1558605204
ISPM ASC AT COVINGTON, LLC
COVINGTON, GA
NPI
1558605204
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Entity Type
Organization
Authorized Contact
ROBIN J FOWLER
Owner
770-929-9033
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2012-11-19
Last Update Date
2012-11-21
Business Address
ISPM ASC AT COVINGTON, LLC
5303 ADAMS ST NE STE C
COVINGTON, GA 30014-6209
Phone number: 678-729-8590
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Mailing Address
ISPM ASC AT COVINGTON, LLC
PO BOX 935100
ATLANTA, GA 31193-5100
Phone number: 678-729-8590
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