AXION SPINE OUTPATIENT SURGERY CENTER NPI 1366181778

NPI Information

NPI: 1366181778
Provider Name: AXION SPINE OUTPATIENT SURGERY CENTER
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 11D2274487

Address:
4100 OLD MILTON PKWY
ALPHARETTA, GA
ZIP 30005
Phone: (470) 579-3962
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AXION SPINE OUTPATIENT SURGERY CENTER is an ambulatory surgical clinic center in Alpharetta, GA. AXION SPINE OUTPATIENT SURGERY CENTER NPI is 1366181778. The provider is registered as an organization entity type.

The provider's business location address is:

4100 OLD MILTON PKWY
ALPHARETTA, GA
ZIP 30005-442
Phone: (470) 579-3962
Fax: (470) 579-3961

The provider's authorized official is Emily Joy Taylor .
The authorized official title is Coo and has the following contact phone number (470) 579-3962.

The CLIA number assigned to this NPI record is 11D2274487 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/2/2022 and was last updated on 8/15/2022.

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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