| Organization Name: | FORSYTH SURGICAL CENTER |
| NPI Number: | 1013120336 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LINDA CAROL JACKSON (OWNER) |
| Mailing Address: | 634 Peachtree Pkwy Ste. 100 Cumming |
| State: | GA US |
| Postal Code: | 300419782 |
| Phone Number: | 7708897465 |
| Fax Number: | 7707819369 |
| NPI Enumeration Date: | 05/07/2007 |
| NPI Last Update Date: | 05/12/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 058148 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |