Organization
SPECIFIED SOLUTIONS SURGICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERROD LAQUINTON WILLIAMS SR. CSA (OWNER)
(404) 932-0295
Entity
Organization
Contact information
Practice address
156 FOSTER DR STE A, MCDONOUGH, GA 30253-5346
(404) 932-0295
Mailing address
207 ARABELLA PKWY, LOCUST GROVE, GA 30248-4250
(404) 932-0295
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2610
DC
Other
Enumeration date
09/23/2015
Last updated
12/05/2025
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