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Organization
PELICAN INC
Active
Organization
PELICAN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN GASH RN-CSA, RRT, RN (OWNER)
(404) 226-7769
Entity
Organization
Contact information
Practice address
3695 CASCADE RD SW STE F, #1102, ATLANTA, GA 30331-2146
(404) 226-7769
(770) 907-6892
Mailing address
3695 CASCADE RD SW STE F, #1102, ATLANTA, GA 30331-2146
(404) 226-7769
(770) 907-6892
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
NULL
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
04/20/2007
Last updated
10/27/2008
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