# METRO SURGICAL ASSISTANTS

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

## Provider details

- **NPI number:** 1427362995
- **Authorized official:** DERRELL NESMITH CSA (CERTIFIED SURGICAL ASSISTANT)
- **Authorized official phone:** (404) 932-0637

## Contact information

- **Practice address:** 3091 COBB PKWY NW APT 1315, KENNESAW, GA 30152-8000
- **Practice address phone:** (404) 932-0637
- **Mailing address:** 3091 COBB PKWY NW APT 1315, KENNESAW, GA 30152-8000
- **Mailing address phone:** (404) 932-0637

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | 2840 | GA | Yes |

## Other

- **Enumeration date:** 07/27/2010
- **Last updated:** 07/27/2010