Organization
QSS GEORGIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAREEN E WILSON (MANAGER)
(973) 894-1263
Entity
Organization
Contact information
Practice address
3400 OLD MILTON PKWY, BLDG C SUITE 330, ALPHARETTA, GA 30005-3707
(973) 826-8080
(855) 834-5436
Mailing address
695 US HIGHWAY 46, SUITE 400A, FAIRFIELD, NJ 07004-1592
(973) 826-8080
(855) 834-5436
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
GA
Other
Enumeration date
12/02/2013
Last updated
01/15/2016
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