Milton Hall Surgical Associates, LLC
Non-Pharmacy Dispensing Site in Alpharetta, GA. Organization (NPI-2).
NPI number1124416367
StatusActive
Last updated in NPPESNov 8, 2018
Details
- NPI
- 1124416367
- Entity type
- Organization (NPI-2)
- Legal business name
- Milton Hall Surgical Associates, LLC
- Organization subpart
- Yes
- Enumeration date
- Dec 22, 2014
- Last updated
- Nov 8, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332900000X | Non-Pharmacy Dispensing Site | 58959 | GA | Yes |
Practice location
3330 Preston Ridge RdSuite 240
Alpharetta, GA 30005-4508
Phone 770-740-1860
Mailing address
2980 N Beverly Glen CirSuite # 301
Los Angeles, CA 90077-1726
Phone 310-943-4180 · Fax 888-431-8819
Authorized official
Jeffrey Gallups
Medical Director
7707401860
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