Provider Demographics
NPI:1881001758
Name:ASUCH SURGERY CENTER
Entity Type:Organization
Organization Name:ASUCH SURGERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:OKORO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-485-1554
Mailing Address - Street 1:PO BOX 2416
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30081-2416
Mailing Address - Country:US
Mailing Address - Phone:770-485-1554
Mailing Address - Fax:770-783-6775
Practice Address - Street 1:2285 ASQUITH AVE SW
Practice Address - Street 2:SUITE 100
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30008-6008
Practice Address - Country:US
Practice Address - Phone:770-485-1554
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-12
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical