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Organization
SOUTHERN CRESCENT SURGICAL ASSISTING P C
Active
Organization
SOUTHERN CRESCENT SURGICAL ASSISTING P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA C BARNARD FNP (CEO)
(404) 408-8696
Entity
Organization
Contact information
Practice address
798 MALLERY ST APT 2, SAINT SIMONS ISLAND, GA 31522-4021
(404) 408-8696
Mailing address
798 MALLERY ST APT 2, SAINT SIMONS ISLAND, GA 31522-4021
(404) 408-8696
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN096995
GA
Other
Enumeration date
10/15/2010
Last updated
07/01/2019
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