Medlock Surgical Center LLC
Medlock Surgical Center LLC is an Exclusive Provider Organization in Johns Creek, Georgia. Licensed in Georgia. Registered with an NPI since 2010.
- Licensed in
- GA
- In the registry since
- 2010
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
10700 Medlock Bridge Rd Ste 101Johns Creek, GA 30097-8455
Phone: (770) 455-4600
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X · Licence 11414 (GA) |
|---|
Record details
| NPI number | 1063721785 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Philip Macon — Owner · (770) 455-4600 |
| NPI enumerated | September 29, 2010 |
| Last updated in NPPES | September 29, 2010 |
| Mailing address | 10700 Medlock Bridge Rd Ste 101, Johns Creek, GA 30097-8455 |