# SURGICAL 1ST, INC.

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

## Provider details

- **NPI number:** 1306895362
- **Authorized official:** MRS. JEWEL B MONTGOMERY RNFA (OWNER)
- **Authorized official phone:** (770) 427-5114

## Contact information

- **Practice address:** 859 ECTOR CHASE NW, KENNESAW, GA 30152-4788
- **Practice address phone:** (770) 427-5114
- **Practice address fax:** (770) 427-6396
- **Mailing address:** 859 ECTOR CHASE NW, KENNESAW, GA 30152-4788
- **Mailing address phone:** (770) 427-5114
- **Mailing address fax:** (770) 427-6396

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WM0705X | Medical-Surgical Registered Nurse | RN100039 | GA | Yes |

## Other

- **Enumeration date:** 05/08/2006
- **Last updated:** 08/22/2020