ENTI SURGERY CENTER LLC NPI 1649682014

NPI Information

NPI: 1649682014
Provider Name: ENTI SURGERY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1595 HIGHWAY 34 E
NEWNAN, GA
ZIP 30265
Phone: (770) 740-1860
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ENTI SURGERY CENTER LLC is an ambulatory surgical clinic center in Newnan, GA. ENTI SURGERY CENTER LLC NPI is 1649682014. The provider is registered as an organization entity type.

The provider's business location address is:

1595 HIGHWAY 34 E
NEWNAN, GA
ZIP 30265-353
Phone: (770) 740-1860
Fax: (678) 347-2104

The provider's authorized official is John H Lloyd .
The authorized official title is Owner and has the following contact phone number (770) 740-1860.

The enumeration date for this NPI number is 5/20/2014 and was last updated on 10/23/2023.

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	038-504	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	038-504	OTHER	GEORGIA	CMS HEALTHCARE FACILITY PROVIDER NUMBER

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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