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1417224650
SOUTHERN SURGICAL ASSISTANTS LLC
CUMMING, GA
NPI
1417224650
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Entity Type
Organization
Authorized Contact
JOSEPH KANCLERZ
CEO
678-591-8344
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN177592)
Enumeration Date
2011-11-16
Last Update Date
2015-09-17
Business Address
SOUTHERN SURGICAL ASSISTANTS LLC
1200 NORTHSIDE FORSYTH DR
CUMMING, GA 30041-7659
Phone number: 770-844-3200
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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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