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Contract Details
Facility name
Georgia Surgical Centers, Inc.
Provider ID
P000002163
NPI
1265465025
Tax ID
043650858
Effective Date
2/15/2004
Last Updated
5/13/2013
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2550 Windy Hill Road Southeast Suite 215
Marietta, GA 30067
United States
County
Cobb
Phone
7708508464
(
Phone
)
Billing Details
Address
PO Box 672588
Marietta, GA 300060044
Specialty Type
Ambulatory Surgical Facility
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Address