Southlake Ambulatory Surgery Center, LLLP
Southlake Ambulatory Surgery Center, LLLP provides Ambulatory Surgical Clinic/Center services in Jonesboro, Georgia. Licensed in Georgia. Registered with an NPI since 2006.
- Licensed in
- GA
- In the registry since
- 2006
Practice location Address checks out
7813 Spivey Station Blvd Ste 100Jonesboro, GA 30236-0000 Not confirmed with CMS for 13 years — call before visiting
Phone: (770) 268-6000
Fax: (770) 268-6001
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Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X · Licence 031127 (GA) |
|---|
Record details
| NPI number | 1508974353 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John McLain — Executive Vp & Coo · (770) 991-8000 |
| Other names | Spivey Station Surgery Center |
| NPI enumerated | August 29, 2006 |
| Last updated in NPPES | July 25, 2013 |
| Mailing address | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 |
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Lake Spivey Ambulatory Surgery Care, LLC
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