| Organization Name: | NORTH GEORGIA OUTPATIENT SURGERY CENTER INC |
| NPI Number: | 1114081635 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HERBERT E. KOSMAHL (PRESIDENT AND MEDICAL DIRECTOR) |
| Mailing Address: | 795 Red Bud Rd Ne Calhoun |
| State: | GA US |
| Postal Code: | 307011966 |
| Phone Number: | 7066291852 |
| Fax Number: | 7066298004 |
| NPI Enumeration Date: | 12/20/2006 |
| NPI Last Update Date: | 02/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 064-078 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |