OrganizationActive
Advanced Laparoscopic Surgery Associates of Georgia
NPI 1477532786 · Surgery Physician · Stockbridge, GA
Provider details
- NPI number
- 1477532786
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Tihesha Wilson, President/Ceo
- License
- 054703 (GA)
Practice location
150 Country Club Dr
Suite 101
Stockbridge, GA 30281-7344
Phone: (678) 565-8753
Fax: (678) 565-8902
Mailing address
909 Eagles Landing Pkwy
Stockbridge, GA 30281-7247
Registry dates
- Enumerated
- 2006-01-13
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.