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1821758103
SELECT SURGICAL, LLC
ACWORTH, GA
NPI
1821758103
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Entity Type
Organization
Authorized Contact
APRIL NICHOLS
Owner
229-575-7291
Organization Subpart ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Enumeration Date
2021-12-28
Last Update Date
2021-12-28
Business Address
SELECT SURGICAL, LLC
4050 COPPERHEAD RD SE
ACWORTH, GA 30102-2736
Phone number: 229-575-7291
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Mailing Address
SELECT SURGICAL, LLC
PO BOX 2490
ACWORTH, GA 30102-0009
Phone number:
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