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1801413174
PA-C SURGICAL ASSIST, LLC
DECATUR, GA
NPI
1801413174
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Entity Type
Organization
Authorized Contact
TIFFANY GIBBERT
Owner
404-907-3292
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2020-07-02
Last Update Date
2020-07-02
Business Address
PA-C SURGICAL ASSIST, LLC
520 W PONCE LEON AVE #1706
DECATUR, GA 30030
Phone number: 404-907-3292
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Mailing Address
PA-C SURGICAL ASSIST, LLC
PO BOX 1706
DECATUR, GA 30031-1706
Phone number: 404-907-3292
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