GRAIVIER SURGERY CENTER NPI 1154999282

NPI Information

NPI: 1154999282
Provider Name: GRAIVIER SURGERY CENTER
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 11D1047455

Address:
3333 OLD MILTON PKWY STE 260
ALPHARETTA, GA
ZIP 30005
Phone: (770) 772-0695
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GRAIVIER SURGERY CENTER is an ambulatory surgical clinic center in Alpharetta, GA. GRAIVIER SURGERY CENTER NPI is 1154999282. The provider is registered as an organization entity type.

The provider's business location address is:

3333 OLD MILTON PKWY STE 260
ALPHARETTA, GA
ZIP 30005-626
Phone: (770) 772-0695

The provider's authorized official is Regina Iannamico .
The authorized official title is Administrator and has the following contact phone number (770) 772-0695.

The CLIA number assigned to this NPI record is 11D1047455 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/15/2021 and was last updated on 8/11/2021.

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

NPI Synchronization or Removal

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