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Fast Surgical Services

Specialist/Technologist, Other, Surgical Assistant in Canton, GA. Organization (NPI-2).

NPI number1093190837
StatusActive
Last updated in NPPESJul 22, 2015

Details

NPI
1093190837
Entity type
Organization (NPI-2)
Legal business name
Fast Surgical Services
Organization subpart
No
Enumeration date
Jul 22, 2015
Last updated
Jul 22, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246ZC0007X Specialist/Technologist, Other, Surgical Assistant153136GAYes
246ZS0410X Specialist/Technologist, Other, Surgical Technologist151286GA

Practice location

201 Hospital Rd
Canton, GA 30114-2408

Phone 770-720-5100

Mailing address

Po Box 1186
Ball Ground, GA 30107-1102

Phone 770-480-1311

Authorized official

Tracy C Echuck
President
7704801311

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