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Organization
STAT SURGICAL SERVICES OF MACON, LLC
Active
Organization
STAT SURGICAL SERVICES OF MACON, LLC
Active
Other names
Stat Surgical Services of Macon
Organization subpart
No
Provider details
NPI number
Authorized official
JUNE P CHESTER RN, BSN, CRNFA (MANAGER)
(478) 986-6825
Entity
Organization
Contact information
Practice address
827 PITTS CHAPEL RD, MACON, GA 31217-2327
(478) 986-6825
(478) 986-6825
Mailing address
827 PITTS CHAPEL RD, MACON, GA 31217-2327
(478) 986-6825
(478) 986-6825
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN039858
GA
163WR0006X
Registered Nurse First Assistant
RN047391
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52207252
BLUE CROSS/BLUE SHIELD
GA
01
—
52268332
BLUE CROSS/BLUE SHIELD
GA
01
—
600951600
US DEPARTMENT OF TREASURY
—
Enumeration date
10/14/2006
Last updated
06/18/2008
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