Provider Demographics
NPI:1912041864
Name:ON-CALL GENERAL SURGERY, LLC
Entity Type:Organization
Organization Name:ON-CALL GENERAL SURGERY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:MACIK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-252-2220
Mailing Address - Street 1:4279 ROSWELL RD NE
Mailing Address - Street 2:SUTIE 102-161
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-3769
Mailing Address - Country:US
Mailing Address - Phone:404-252-2220
Mailing Address - Fax:
Practice Address - Street 1:960 JOHNSON FERRY RD NE
Practice Address - Street 2:SUITE 228
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1631
Practice Address - Country:US
Practice Address - Phone:404-252-2220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty