Provider Demographics
NPI:1356301493
Name:SURGICAL ASSOCIATES, LLC
Entity Type:Organization
Organization Name:SURGICAL ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARLOWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-501-7081
Mailing Address - Street 1:1045 SYCAMORE DR
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-1645
Mailing Address - Country:US
Mailing Address - Phone:404-501-7081
Mailing Address - Fax:404-419-1680
Practice Address - Street 1:1045 SYCAMORE DR
Practice Address - Street 2:2ND FLOOR
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-1645
Practice Address - Country:US
Practice Address - Phone:404-501-7081
Practice Address - Fax:404-419-1680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-24
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty