# KEYSTONE SURGICAL ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063856706
- **Authorized official:** MRS. DINA ELLEN DLUGOS PA-C (PA)
- **Authorized official phone:** (678) 773-9399

## Contact information

- **Practice address:** 2525 KIRK POINTE CV NW, KENNESAW, GA 30152-6239
- **Practice address phone:** (678) 773-9399
- **Practice address fax:** (770) 792-2263
- **Mailing address:** 2525 KIRK POINTE CV NW, KENNESAW, GA 30152-6239
- **Mailing address phone:** (678) 773-9399
- **Mailing address fax:** (770) 792-2263

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | GA | Yes |

## Other

- **Enumeration date:** 04/24/2013
- **Last updated:** 04/24/2013