Marietta Outpatient Surgery, Ltd

LBN: Marietta Outpatient Surgery, Ltd
Marietta Outpatient Surgery, Ltd is an health care organization with primary practice located at 780 Canton Rd Ne Suite 100, Marietta GA 30060-7241. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Marietta Outpatient Surgery, Ltd can be contacted via phone (770) 422-1579, or through Swinney, William Gregory via phone (972) 789-2877.

Contact Information

Primary practice address
780 Canton Rd Ne Suite 100 Marietta GA 30060-7241
Phone: (770) 422-1579
Fax: (770) 422-1057
Website:
Map and Directions
Authorized official contact:
Name: Swinney, William Gregory
Phone: (972) 789-2877

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 033163 Georgia

Profile Details

NPI number 1669437109
LBN Legal business name Marietta Outpatient Surgery, Ltd
DBA Doing business as
Authorized official Swinney, William Gregory
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2006
Last updated Feb 15th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669437109 NPPES
Georgia MEDICAID 00354593A

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