Premier Orthopaedic Surgery, LLC
Orthopaedic Surgery in Suwanee, GA. Organization (NPI-2).
NPI number1376602565
StatusActive
Last updated in NPPESAug 15, 2008
Details
- NPI
- 1376602565
- Entity type
- Organization (NPI-2)
- Legal business name
- Premier Orthopaedic Surgery, LLC
- Organization subpart
- No
- Enumeration date
- Dec 6, 2006
- Last updated
- Aug 15, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | – | – | Yes |
| 207XS0117X | Orthopaedic Surgery, Orthopaedic Surgery of the Spine | – | – | |
| 207XX0005X | Orthopaedic Surgery, Sports Medicine | – | – |
Practice location
7360 Mcginnis Ferry RdSuite E
Suwanee, GA 30024-6603
Phone 678-513-8111 · Fax 678-990-1956
Mailing address
7360 Mcginnis Ferry RdSuite E
Suwanee, GA 30024-6603
Phone 678-513-8111 · Fax 678-990-1956
Authorized official
Wanda Hayes
Office Manager
6785138111
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