NPI age
16 years
Enumerated 2009-07-24
● Active Type 2 · Organization
Eagles Landing Surgery, P.c.
Eagles Landing Surgery, P.c. is 1 of 1389 surgery organizations in Georgia.
Primary specialty
Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wall
Registered Nurse
Last NPPES update
2009-07-24
Source: monthly bulk 2026-05
How this organization compares
Across 1389 active surgery providers in Georgia.
NPI age
16 years
≈ at median (17 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-07Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
245 Village Center Pkwy, Suite 100
Stockbridge, GA 302819096
Mailing address
245 Village Center Pkwy, Suite 100
Stockbridge, GA 302819096
Authorized official
Robin Wall, RN
Registered Nurse
📞 7703891962
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Jessica Johnson, BCBA Behavior Analyst NPI 1609505676
- Tyler Person Behavior Analyst NPI 1255155776
- Khalique Rehman, M.D. Physical Medicine & Rehabilitation NPI 1447296199
- Markia Weaver, MA, BCBA Behavior Analyst NPI 1215442645
Specialties
-
Surgery PrimaryA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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