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Organization
SGI SURGICAL CARE INCORPORATED
Active
Organization
SGI SURGICAL CARE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEPHANIE INGRAM CSA (CERTIFIED SURGICAL ASSISTANT)
(770) 354-6940
Entity
Organization
Contact information
Practice address
863 FLAT SHOALS RD SE STE C238, CONYERS, GA 30094-6633
(770) 354-6940
Mailing address
863 FLAT SHOALS RD SE STE C238, CONYERS, GA 30094-6633
(770) 354-6940
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
NULL
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/19/2015
Last updated
05/10/2022
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