Surgical Assoicates of Metro Atlanta, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

GA052463 Issued in GA

Legal business name

SURGICAL ASSOICATES OF METRO ATLANTA, LLC

Doing business as

Donald Maynard, MD

Practice address

1612 Milstead Rd NE
Conyers, GA 30012-3738

Phone

(770) 602-1292

NPI assigned

Sep 8, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Donald Angus Maynard, MD

Title

Owner

Phone

(770) 602-1292

Specialties & licenses 1

Addresses

Other names 1

• Donald Maynard, MD Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1184872723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 MILSTEAD RD NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123738",
            "telephone_number": "770-602-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 MILSTEAD RD NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123738",
            "telephone_number": "770-602-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSOICATES OF METRO ATLANTA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-08",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "MAYNARD",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "ANGUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-602-1292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "GA",
            "license": "GA052463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Donald Maynard, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Surgery Physician in Conyers, GA
• Providers in Conyers, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.