Organization
ELITESS SURGICAL SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM SMART CSFA (OWNER)
(404) 935-2189
Entity
Organization
Contact information
Practice address
245 N HIGHLAND AVE, STE 230-451, ATLANTA, GA 30307-1936
(404) 935-2189
(888) 265-5564
Mailing address
245 N HIGHLAND AVE, STE 230-451, ATLANTA, GA 30307-1936
(404) 935-2189
(888) 265-5564
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
02/08/2019
Last updated
10/05/2021
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