Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center |
| NPI # | 1598540064 |
| LBN Legal business name | ADVANCED CENTER FOR JOINT REPLACEMENT GWINNETT, LLC |
| Authorized official | JORGE HERNANDEZ - (VP. ADMIN SVCS/CCO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/31/2023 |
| Last updated | 08/07/2024 - More than a year ago |
| Identifiers | n/a |
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