JOHNS CREEK PROCEDURE CENTER LLC NPI 1356702039

NPI Information

NPI: 1356702039
Provider Name: JOHNS CREEK PROCEDURE CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
6920 MCGINNIS FERRY RD
SUITE A
SUWANEE, GA
ZIP 30024
Phone: (706) 549-8114
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JOHNS CREEK PROCEDURE CENTER LLC is an ambulatory surgical clinic center in Suwanee, GA. JOHNS CREEK PROCEDURE CENTER LLC NPI is 1356702039. The provider is registered as an organization entity type.

The provider's business location address is:

6920 MCGINNIS FERRY RD
SUITE A
SUWANEE, GA
ZIP 30024-672
Phone: (706) 549-8114

The provider's authorized official is Dawnetta Janene Holladay .
The authorized official title is Owner and has the following contact phone number (706) 549-8114.

The enumeration date for this NPI number is 3/9/2016 and was last updated on 10/17/2016.

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: 5/5/2024

NPI Synchronization or Removal

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