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Organization

PELICAN, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. YUL BRIAN GASH RNFA (OWNER)
(404) 226-7769
Entity
Organization

Contact information

Practice address
3961 FLOYD ROAD, SUITE 300-350, AUSTELL, GA 30106-8536
(404) 226-7769
Mailing address
3961 FLOYD ROAD, SUITE 300-350, AUSTELL, GA 30106-8536
(404) 226-7769

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary

Other

Enumeration date
05/04/2015
Last updated
10/27/2015
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