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Organization
SURGICAL ASSISTANT COUNSULTING OF GEORGIA L.L.C.
Active
Organization
SURGICAL ASSISTANT COUNSULTING OF GEORGIA L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JABLONSKY RNFA (RNFA)
(205) 250-9966
Entity
Organization
Contact information
Practice address
5200 DALLAS HWY STE 200-224, POWDER SPRINGS, GA 30127-6318
(770) 687-9596
Mailing address
5200 DALLAS HWY STE 200-224, POWDER SPRINGS, GA 30127-6318
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
RN220938
GA
363AS0400X
Surgical Physician Assistant
Primary
—
NULL
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
02/20/2016
Last updated
02/20/2016
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