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Organization

MERIDIAN SURGICAL, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANUJ KUMAR DUA MD (PHYSICIAN)
(770) 704-6101
Entity
Organization

Contact information

Practice address
684 SIXES RD, SUITE 225, HOLLY SPRINGS, GA 30115-8721
(770) 704-6101
(770) 704-6316
Mailing address
684 SIXES RD, SUITE 225, HOLLY SPRINGS, GA 30115-8721
(770) 704-6101
(770) 704-6316

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
053856
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
594877089B
GA
Enumeration date
06/06/2006
Last updated
12/21/2011
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