Organization · NPI-2

Atlanta Surgical Assistant,llc.

Specialist/Technologist, Other, Surgical Assistant · Lawrenceville, GA

NPI number1972884229
StatusActive
Last updated in NPPESOct 29, 2015

Details

NPI
1972884229
Entity type
Organization (NPI-2)
Legal business name
Atlanta Surgical Assistant,llc.
Organization subpart
No
Enumeration date
Aug 31, 2011
Last updated
Oct 29, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246ZC0007X Specialist/Technologist, Other, Surgical Assistant––Yes

Practice location

1840 Angus Lee Dr
Lawrenceville, GA 30045-2764

Phone 404-931-1834

Mailing address

1840 Angus Lee Dr
Lawrenceville, GA 30045-2764

Phone 404-931-1834

Authorized official

Tu Oai Vu Pham
Director
4049311843

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