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1063687267
SOUTHERN SURGICAL ASSISTANTS, LLC
BRASELTON, GA
NPI
1063687267
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Entity Type
Organization
Authorized Contact
JOSEPH HENRY KANCLERZ
Owner
678-591-8644
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2008-04-28
Last Update Date
2018-11-28
Business Address
SOUTHERN SURGICAL ASSISTANTS, LLC
5742 ALLEE WAY
BRASELTON, GA 30517
Phone number: 678-591-8344
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Mailing Address
SOUTHERN SURGICAL ASSISTANTS, LLC
PO BOX 7042
CHESTNUT MOUNTAIN, GA 30502-0042
Phone number: 678-591-8344
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