Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Georgia Surgicare

Organization Multi-Specialty Clinic/Center · NPI 1508150509

Georgia Surgicare is a Multi-Specialty Clinic/Center in Loganville, Georgia. Registered with an NPI since 2011.

In the registry since
2011
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Practice location Address checks out

367 Athens Hwy Bldg 100 Ste 100A
Loganville, GA 30052-2204
Phone: (678) 466-6760
Fax: (678) 802-7094
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X

Record details

NPI number1508150509
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Ibikunle — Ceo · (678) 466-6760
NPI enumeratedJune 7, 2011
Last updated in NPPESMarch 20, 2015
Mailing address367 Athens Hwy, Building 100 Suite 100a, Loganville, GA 30052-2204