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Organization
AMED SURGICAL ASSOCIATES
Active
Organization
AMED SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA DIOUF CSA (CEO)
(404) 615-5551
Entity
Organization
Contact information
Practice address
2844 BARRETT AVE, MACON, GA 31206-4834
(404) 449-1901
Mailing address
2844 BARRETT AVE, MACON, GA 31206-4834
(404) 615-5551
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
—
NULL
363AS0400X
Surgical Physician Assistant
Primary
—
NULL
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
03/05/2018
Last updated
04/06/2022
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