Organization
EAST METRO SURGICAL ASSISTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA BOUTWELL (OWNER)
(770) 985-4257
Entity
Organization
Contact information
Practice address
70 ASHFORD DR, OXFORD, GA 30054-4648
(770) 985-4257
Mailing address
PO BOX 1938, CONYERS, GA 30012-7291
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
04/25/2007
Last updated
08/29/2008
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