NORTHWEST ENT SURGERY CENTER, LLC

WOODSTOCK, GA
NPI1982978466
Entity TypeOrganization
Authorized ContactCARLOS M EGEA
Administrator
770-427-0368
Organization Subpart ?No
Primary Taxonomy261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date2012-03-01
Last Update Date2013-01-18
Business Address
NORTHWEST ENT SURGERY CENTER, LLC
960 WOODSTOCK PKWY SUITE 101
WOODSTOCK, GA 30188-4866
Phone number: 678-483-8833
Mailing Address
NORTHWEST ENT SURGERY CENTER, LLC
960 WOODSTOCK PKWY SUITE 101
WOODSTOCK, GA 30188-4866
Phone number: 678-483-8833
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