NE
NORTHWEST ENT SURGERY CENTER, LLC
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
WOODSTOCK, GA
Licensed since
2012
Rate
—
Federal identifiers
NPI registry number1982978466
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients106
Authorized official
NameCARLOS EGEA
TitleADMINISTRATOR
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