Organization
PROFESSIONAL SURGICAL ASSISTANTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERRIC RENTON CSA, KCSA. (PRESIDENT)
(812) 923-2050
Entity
Organization
Contact information
Practice address
107 TUNNEL HILL RD, GEORGETOWN, IN 47122-9131
(812) 923-2050
(812) 923-2883
Mailing address
107 TUNNEL HILL RD, GEORGETOWN, IN 47122-9131
(812) 923-2050
(812) 923-2883
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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