Provider Demographics
NPI:1205229192
Name:ADVANCED ORTHOPEDIC SURGERY CENTER LLC
Entity Type:Organization
Organization Name:ADVANCED ORTHOPEDIC SURGERY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VIRALKUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-333-7888
Mailing Address - Street 1:3968 FELTON HILL RD SW
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30082-3512
Mailing Address - Country:US
Mailing Address - Phone:770-333-7888
Mailing Address - Fax:770-333-7889
Practice Address - Street 1:1462 MONTREAL RD
Practice Address - Street 2:SUITE 109
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084-6929
Practice Address - Country:US
Practice Address - Phone:770-333-7888
Practice Address - Fax:770-333-7889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-17
Last Update Date:2015-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical