# MIDTOWN SURGICAL ASSISTANTS

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

## Provider details

- **NPI number:** 1174991269
- **Authorized official:** MR. ROYCE DUVALL TATE CSA (CERTIFIED SURGICAL ASSISTANT)
- **Authorized official phone:** (404) 446-7169

## Contact information

- **Practice address:** 11 CARRIAGE LAKE DR, STOCKBRIDGE, GA 30281
- **Practice address phone:** (404) 446-7169
- **Mailing address:** 11 CARRIAGE LAKE DR, STOCKBRIDGE, GA 30281-6276
- **Mailing address phone:** (404) 446-7169

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 3225 | GA | Yes |

## Other

- **Enumeration date:** 09/08/2015
- **Last updated:** 09/08/2015