Georgia Lithotripsy and Laser Center
Georgia Lithotripsy and Laser Center is an Ambulatory Surgical Clinic/Center in Athens, Georgia. Licensed in Georgia. Registered with an NPI since 2006.
- Licensed in
- GA
- In the registry since
- 2006
- Specialties on file
- 3
Practice location Address checks out
120 Trinity PlAthens, GA 30607-2100
Phone: (706) 543-2718
Fax: (706) 353-3709
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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 |
|---|---|
| Lithotripsy Clinic/Center | Taxonomy 261QL0400X · Licence 029-044 (GA) |
| Radiology Clinic/Center | Taxonomy 261QR0200X |
Record details
| NPI number | 1386739498 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Allen — President · (706) 543-2718 |
| NPI enumerated | October 4, 2006 |
| Last updated in NPPES | November 5, 2008 |
| Mailing address | 120 Trinity Pl, Athens, GA 30607-2100 |
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