Organization
OASIS SURGICAL BILLING COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEY CRATER CST (CEO)
(770) 687-9068
Entity
Organization
Contact information
Practice address
800 KENNESAW AVE NW, MARIETTA, GA 30060-1051
(770) 687-9068
Mailing address
800 KENNESAW AVE NW, MARIETTA, GA 30060-1051
(770) 687-9068
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
—
GA
363AS0400X
Surgical Physician Assistant
Primary
—
GA
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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