Advanced Laparoscopic Surgery Associates of Georgia

Organization Active NPI Surgery Physician · Stockbridge, GA

NPI 1477532786 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1477532786
Entity type
Organization (NPI type 2)
Primary specialty
Surgery Physician 208600000X
License
054703 (GA)
Legal business name
ADVANCED LAPAROSCOPIC SURGERY ASSOCIATES OF GEORGIA
Practice address
150 Country Club Dr
Suite 101
Stockbridge, GA 30281-7344
Phone
(678) 565-8753
Fax
(678) 565-8902
NPI assigned
Jan 13, 2006
Organization subpart
No

Authorized official

Name
Dr. Tihesha Lonee Wilson, MD
Title
President/Ceo
Phone
(678) 565-8753

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

909 Eagles Landing Pkwy
Ste 140
Stockbridge, GA 30281

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208600000X 054703 GA Yes

Addresses

Primary practice location

150 Country Club Dr
Suite 101
Stockbridge, GA 30281-7344

Mailing address

909 Eagles Landing Pkwy
Suite 140 Box 132
Stockbridge, GA 30281-7247
Phone (678) 565-8753

Other providers in Stockbridge, GA

All providers in Stockbridge, GA · Surgery Physician in Georgia

Sources for this page

Verify at the official NPI Registry.