NORTHWEST PLAZA ASC LLC NPI 1528196888

NPI Information

NORTHWEST PLAZA ASC LLC is an ambulatory surgical clinic center in Albany, GA. NORTHWEST PLAZA ASC LLC NPI is 1528196888. The provider is registered as an organization entity type.

The provider's business location address is:

2311 LAKE PARK DR
SUITE 4
ALBANY, GA
ZIP 31707-183
Phone: (229) 435-0525
Fax: (229) 434-9827

The provider's authorized official is Natalie D. Dixon .
The authorized official title is Chief Operating Officer and has the following contact phone number (229) 435-0525.

The CLIA number assigned to this NPI record is 11D1067660 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/1/2007 and was last updated on 2/28/2017.

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:

Other Identifiers

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