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Organization
SURGICAL MEDICAL ASSOCIATE CORPORATION, INC
Active
Organization
SURGICAL MEDICAL ASSOCIATE CORPORATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY ALLEN (OWNER)
(770) 985-4257
Entity
Organization
Contact information
Practice address
4524 SEQUOIA PARK TRL, SNELLVILLE, GA 30039-2765
(770) 985-4257
Mailing address
PO BOX 391824, SNELLVILLE, GA 30039-0031
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
NULL
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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