PREMIER AMBULATORY SURGICAL CENTER, LLC
Ambulatory Health at Chicopee Dr, Marietta, GA

License number
Georgia 23819
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: MR. VERNON E SPELLMAN SR.
Title: ADMINISTRATOR
Phone: (678) 872-8750
Address
Address
211 Chicopee Dr NE, Marietta, GA 30060
National Provider ID: 1750629325
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PREMIER AMBULATORY SURGICAL CENTER, LLC

211 Chicopee Dr, Marietta, GA 30060

Industry:
Medical Doctor's Office
Registration:
Feb 1, 2012
State ID:
12009769
Business type:
Domestic Limited Liability Company
Mbr:
Vernon Spellman (Mbr)

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