MARIETTA OUTPATIENT SURGERY LTD NPI 1669437109

NPI Information

MARIETTA OUTPATIENT SURGERY, LTD is an ambulatory surgical clinic center in Marietta, GA. MARIETTA OUTPATIENT SURGERY, LTD NPI is 1669437109. The provider is registered as an organization entity type.

The provider's business location address is:

780 CANTON RD NE
SUITE 100
MARIETTA, GA
ZIP 30060-241
Phone: (770) 422-1579
Fax: (770) 422-1057

The provider's authorized official is William Gregory Swinney .
The authorized official title is Vp and has the following contact phone number (972) 789-2877.

The CLIA number assigned to this NPI record is 11D0254935 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/18/2006 and was last updated on 2/15/2018.

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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