Organization
MIDTOWN SURGICAL ASSISTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROYCE DUVALL TATE CSA (CERTIFIED SURGICAL ASSISTANT)
(404) 446-7169
Entity
Organization
Contact information
Practice address
11 CARRIAGE LAKE DR, STOCKBRIDGE, GA 30281
(404) 446-7169
Mailing address
11 CARRIAGE LAKE DR, STOCKBRIDGE, GA 30281-6276
(404) 446-7169
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
3225
GA
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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