Organization
KEJ SURGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL E JOHNSON SAC (OWNER)
(214) 227-2457
Entity
Organization
Contact information
Practice address
2770 HOLLY RIDGE CIR, MARIETTA, GA 30062-4602
(214) 227-2457
(214) 764-0880
Mailing address
PO BOX 670132, MARIETTA, GA 30066-0119
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
16-399
GA
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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