F5 Surgical - Telita Anthony LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

62046 Issued in GA

Legal business name

F5 SURGICAL - TELITA ANTHONY LLC

Practice address

5425 Peachtree Pkwy
Norcross, GA 30092-6536

Phone

(770) 676-7398

Fax

(404) 855-4243

NPI assigned

Dec 5, 2017

Organization subpart

No

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

Authorized official

Name

David Hayes, MD

Title

Ceo

Phone

(770) 676-7398

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512432000000",
    "number": "1881109494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744365",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303744365",
            "telephone_number": "770-676-7398",
            "fax_number": "404-855-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 PEACHTREE PKWY",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300926536",
            "telephone_number": "770-676-7398",
            "fax_number": "404-855-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F5 SURGICAL - TELITA ANTHONY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-05",
        "last_updated": "2017-12-05",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-676-7398",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "GA",
            "license": "62046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; 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.