EAST WEST SURGERY CENTER LP
Surgery Yellow Pages
Austell, Georgia
Provider NPI: 1366444929
Organization Information:Organization Name: EAST WEST SURGERY CENTER LP
Practice Location:
2041 MESA VALLEY WAY STE 125 AUSTELL, GA 30106 US
Tel: 678-309-8100 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
2041 MESA VALLEY WAY STE 125 AUSTELL, GA 30106 US
Tel: 678-309-8100 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | GA | 033202 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
00897047A | GA | 05 | |
AETNA H/POS | 2377093 | GA | 01 |
UNITED HEALTHCARE | 68-00053 | GA | 01 |
AETNA PPO | 7467086 | GA | 01 |
DEPT OF LABOR | 166-510-500 | GA | 01 |
RR MEDICARE | 490005006 | GA | 01 |
MEDICAID WELLCARE | 327221 | GA | 01 |
BLUE CROSS | 51795413002 | GA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin