Center for Reconstructive Surgery
Center for Reconstructive Surgery is an Ambulatory Surgical Clinic/Center in Jonesboro, Georgia. Licensed in Georgia. Registered with an NPI since 2006.
- Licensed in
- GA
- In the registry since
- 2006
Practice location Address checks out
7130 Mount Zion Blvd Ste 14Jonesboro, GA 30236-2518
Phone: (770) 716-8732
Fax: (770) 716-1330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X · Licence 060-083 (GA) |
|---|
Record details
| NPI number | 1720023500 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gregory Alvarez — Vice-President · (770) 487-6716 |
| NPI enumerated | June 17, 2006 |
| Last updated in NPPES | August 10, 2007 |
| Mailing address | 7130 Mount Zion Blvd, Suite 14, Jonesboro, GA 30236-2518 |
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-
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Lake Spivey Ambulatory Surgery Care, LLC
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