Amicable Surgical Services LLC

Surgery Physician · Atlanta, GA

Organization Active NPI

NPI number 1386489920

Practice location

5665 Peachtree Dunwoody Rd
Atlanta, GA 30342-1764

Phone: (678) 843-7001

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NPI record

NPI: 1386489920
Entity type: Organization (Type 2)
Enumeration date: June 26, 2024
Last updated: June 26, 2024
Certified: June 26, 2024
Organization subpart: No

Specialties & taxonomy codes

Taxonomy	Code	License	State
Surgery Physician Primary	`208600000X`	—	—

Mailing address

137 South Ave
Jonesboro, GA 30236-4948

Phone: (404) 435-3216

Authorized official

Name: Wasana J Phouangmalay
Title: Csfa
Phone: (404) 435-3216

Other practice locations (2)

1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 · (678) 604-1000
1000 Johnson Fy Rd NE, Atlanta, GA 30342-1606 · (404) 851-8000

About Amicable Surgical Services LLC

Amicable Surgical Services LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764. The NPI number 1386489920 was assigned on June 26, 2024 and the record was last updated on June 26, 2024.

The authorized official for this organization is Wasana J Phouangmalay, Csfa.

Frequently asked questions

What is the NPI number of Amicable Surgical Services LLC?

The NPI number is 1386489920.

What is the phone number of Amicable Surgical Services LLC?

The phone number listed for the practice location is (678) 843-7001.

Where is Amicable Surgical Services LLC located?

5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764.

What is the taxonomy code for Amicable Surgical Services LLC?

The primary taxonomy code is 208600000X – Surgery Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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