Provider Demographics
NPI:1144560418
Name:ATLANTA GENERAL SURGERY ASSOCIATES,PC
Entity type:Organization
Organization Name:ATLANTA GENERAL SURGERY ASSOCIATES,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ORRETH
Authorized Official - Middle Name:BRUCE
Authorized Official - Last Name:CASE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-257-0644
Mailing Address - Street 1:5755 N POINT PKWY
Mailing Address - Street 2:SUITE 98
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-1142
Mailing Address - Country:US
Mailing Address - Phone:404-257-0644
Mailing Address - Fax:404-257-0681
Practice Address - Street 1:5755 N POINT PKWY
Practice Address - Street 2:SUITE 98
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-1142
Practice Address - Country:US
Practice Address - Phone:404-257-0644
Practice Address - Fax:404-257-0681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-25
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty