Hillandale Surgical Group
Surgery in Lithonia, GA. Organization (NPI-2).
NPI number1255529061
StatusActive
Last updated in NPPESOct 5, 2007
Details
- NPI
- 1255529061
- Entity type
- Organization (NPI-2)
- Legal business name
- Hillandale Surgical Group
- Organization subpart
- No
- Enumeration date
- Oct 5, 2007
- Last updated
- Oct 5, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 051545 | GA | Yes |
Practice location
5910 Hillandale Dr Ste 209Lithonia, GA 30058-1878
Phone 404-294-0257
Mailing address
5910 Hillandale Dr Ste 209Lithonia, GA 30058-1878
Phone 404-294-0257
Authorized official
Andre Scott
President
4042940257
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