Organization
SUMMIT SURGICAL SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL J RICHARDS (PRACTICE MANAGER)
(770) 423-0395
Entity
Organization
Contact information
Practice address
590 NANCY ST NW, MARIETTA, GA 30060-1334
(770) 423-0395
(770) 499-0352
Mailing address
590 NANCY ST NW, MARIETTA, GA 30060-1334
(770) 423-0395
(770) 499-0352
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55001233A
—
GA
Enumeration date
01/24/2007
Last updated
08/31/2010
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