Organization
YOUR SURGICAL FIRST ASSISTANT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY GILBRETH CST,CSFA (SURGICAL FIRST ASSISTANT)
(678) 770-3700
Entity
Organization
Contact information
Practice address
345 CHARLYNE WAY, DACULA, GA 30019
(678) 770-3700
Mailing address
345 CHARLYNE WAY, DACULA, GA 30019-2381
(678) 770-3700
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
09/12/2017
Last updated
07/21/2022
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