ADVANCED LAPAROSCOPIC SURGERY ASSOCIATES OF GEORGIA
Radiology at Country Club Dr, Stockbridge, GA

License number
Georgia 054703
Category
Radiology
Type
Surgery
Owner
Name: DR. TIHESHA LONEE WILSON MD
Title: PRESIDENT/CEO
Phone: (678) 565-8753
Address
Address
150 Country Club Dr SUITE 101, Stockbridge, GA 30281
National Provider ID: 1477532786
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ADVANCED LAPAROSCOPIC SURGERY ASSOCIATES OF GEORGIA, PC

909 Eagle #39 S LANDING PARKWAY, Stockbridge, GA 30281

Status:
Inactive
Registration:
Jun 15, 2005
Inactive since:
Sep 7, 2010
State ID:
0543220
Business type:
Domestic Professional Corporation
CEO:
L Tihesha Wilson (CEO), 150 Country Clb Dr SUITE 101, Stockbridge, GA 30281 (Physical)
Agent:
Tihesha Lonee Wilson,150 Country Clb Dr SUITE 101 STOCKBRIDGE GA, Stockbridge, GA 30281 (Physical)

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