# PELICAN INC

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

## Provider details

- **NPI number:** 1649497595
- **Authorized official:** BRIAN GASH RN-CSA, RRT, RN (OWNER)
- **Authorized official phone:** (404) 226-7769

## Contact information

- **Practice address:** 3695 CASCADE RD SW STE F, \#1102, ATLANTA, GA 30331-2146
- **Practice address phone:** (404) 226-7769
- **Practice address fax:** (770) 907-6892
- **Mailing address:** 3695 CASCADE RD SW STE F, \#1102, ATLANTA, GA 30331-2146
- **Mailing address phone:** (404) 226-7769
- **Mailing address fax:** (770) 907-6892

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 04/20/2007
- **Last updated:** 10/27/2008
