Organization · NPI-2
1st Call Surgical Services
Physician Assistant, Surgical · Rome, GA
NPI number1962779561
StatusActive
Last updated in NPPESNov 27, 2011
Details
- NPI
- 1962779561
- Entity type
- Organization (NPI-2)
- Legal business name
- 1st Call Surgical Services
- Organization subpart
- No
- Enumeration date
- Nov 27, 2011
- Last updated
- Nov 27, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | – | – | Yes |
Practice location
205 Myrtle St SwRome, GA 30161-4445
Phone 888-265-9908 · Fax 888-265-5564
Mailing address
Po Box 492Redan, GA 30074-0492
Phone 888-265-9908 · Fax 888-265-5564
Authorized official
Ralph Dumas
Owner, President
8882659908
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