Organization
CUTTING EDGE SURGICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ANN CARROLL (RNFA)
(770) 317-0814
Entity
Organization
Contact information
Practice address
190 BEAR CREEK RD, MORELAND, GA 30259-2813
(770) 317-0814
Mailing address
190 BEAR CREEK RD, MORELAND, GA 30259-2813
(770) 317-0814
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
113659
GA
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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