ORTHO ATLANTA SURGERY CENTER OF FAYETTEVILLE NPI 1447630876

NPI Information

  • NPI: 1447630876
  • Provider Name: ORTHO ATLANTA SURGERY CENTER OF FAYETTEVILLE
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 1265 HIGHWAY 54 W STE 103
    FAYETTEVILLE, GA
    ZIP 30214
  • Phone: (678) 673-5108

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NPI Details

ORTHO ATLANTA SURGERY CENTER OF FAYETTEVILLE is an ambulatory surgical clinic center in Fayetteville, GA. ORTHO ATLANTA SURGERY CENTER OF FAYETTEVILLE NPI is 1447630876. The provider is registered as an organization entity type.

The provider's business location address is:

1265 HIGHWAY 54 W STE 103
FAYETTEVILLE, GA
ZIP 30214-537
Phone: (678) 673-5108

The provider's authorized official is Brian Young .
The authorized official title is Administrator and has the following contact phone number (678) 673-5108.

The enumeration date for this NPI number is 6/1/2015 and was last updated on 6/1/2015.

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
1261QA1903XClinic/CenterAmbulatory Surgical056-HOS-001GEORGIAYes

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: 3/30/2025

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