OrganizationActive
Atlanta Surgery Group Specialists LLC
NPI 1962696203 · Surgical Technologist · Norcross, GA
Provider details
- NPI number
- 1962696203
- Entity type
- Organization
- Primary specialty
- Surgical TechnologistTechnologists, Technicians & Other Technical Service Providers
- Organization subpart
- No
- Authorized official
- Mario Luque, President(404) 668-6112
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
4088 Jones Bridge Cir
Norcross, GA 30092-1214
Phone: (404) 668-6112
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 11512
Atlanta, GA 30355-1512
Registry dates
- Enumerated
- 2007-08-29
- Last updated
- 2012-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.