Organization
PARK SURGICAL SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI MCDONALD (CREDENTIALING)
(404) 414-8047
Entity
Organization
Contact information
Practice address
4255 JOHNS CREEK PKWY STE D, SUWANEE, GA 30024-6122
(404) 414-8047
Mailing address
4255 JOHNS CREEK PKWY STE D, SUWANEE, GA 30024-6122
(404) 414-8047
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
32801
GA
Other
Enumeration date
01/12/2018
Last updated
10/01/2018
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