Organization
SURGICAL 1ST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEWEL B MONTGOMERY RNFA (OWNER)
(770) 427-5114
Entity
Organization
Contact information
Practice address
859 ECTOR CHASE NW, KENNESAW, GA 30152-4788
(770) 427-5114
(770) 427-6396
Mailing address
859 ECTOR CHASE NW, KENNESAW, GA 30152-4788
(770) 427-5114
(770) 427-6396
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN100039
GA
Other
Enumeration date
05/08/2006
Last updated
08/22/2020
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