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Organization
SPECIFIED SOLUTIONS SURGICAL ASSOCIATES, INC.
Active
Organization
SPECIFIED SOLUTIONS SURGICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERROD LAQUINTON WILLIAMS SR. CSA (OWNER)
(404) 932-0295
Entity
Organization
Contact information
Practice address
156 FOSTER DR STE A, MCDONOUGH, GA 30253-5346
(404) 932-0295
Mailing address
207 ARABELLA PKWY, LOCUST GROVE, GA 30248-4250
(404) 932-0295
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2610
DC
Other
Enumeration date
09/23/2015
Last updated
12/05/2025
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