ADVANCED GYNECOLOGIC SURGERY CENTER NPI 1033583836

NPI Information

NPI: 1033583836
Provider Name: ADVANCED GYNECOLOGIC SURGERY CENTER
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 11D2100008

Address:
1000 HAWTHORNE AVE
SUITE V
ATHENS, GA
ZIP 30606
Phone: (706) 248-6860
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ADVANCED GYNECOLOGIC SURGERY CENTER is an ambulatory surgical clinic center in Athens, GA. ADVANCED GYNECOLOGIC SURGERY CENTER NPI is 1033583836. The provider is registered as an organization entity type.

The provider's business location address is:

1000 HAWTHORNE AVE
SUITE V
ATHENS, GA
ZIP 30606-168
Phone: (706) 248-6860

The provider's authorized official is Clinton B Ashford .
The authorized official title is President and has the following contact phone number (706) 248-6860.

The CLIA number assigned to this NPI record is 11D2100008 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/18/2015 and was last updated on 11/18/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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