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Organization
AA SURGICAL LLC
Active
Organization
AA SURGICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANEETA ANDERSON CSA (CSA)
(770) 882-5276
Entity
Organization
Contact information
Practice address
4151 PRALINE CT, MARIETTA, GA 30066-2394
(770) 882-5276
Mailing address
4151 PRALINE CT, MARIETTA, GA 30066-2394
(770) 882-5276
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
NULL
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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