NEWTON ROCKDALE AMBULATORY SURGERY CENTER
Surgery Yellow Pages
Covington, Georgia
Provider NPI: 1396735833
Organization Information:Organization Name: NEWTON ROCKDALE AMBULATORY SURGERY CENTER
Practice Location:
4167 HOSPITAL DR NE COVINGTON, GA 30014 US
Tel: 770-786-1234 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:
4167 HOSPITAL DR NE COVINGTON, GA 30014 US
Tel: 770-786-1234 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 | 122-036 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BLUE CROSS BLUE SHIELD | 51001066001 | GA | 01 |
000420802A | GA | 05 | |
RRR MEDICARE # | 490002755 | GA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin