Organization
ATLANTA SURGICAL 1ST ASSIST P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL FORTUNE RNFA (OWNER)
(404) 296-5005
Entity
Organization
Contact information
Practice address
2801 N DECATUR RD, SUITE 200, DECATUR, GA 30033-5949
(404) 296-5005
(404) 296-2070
Mailing address
2801 N DECATUR RD, SUITE 200, DECATUR, GA 30033-5949
(404) 296-5005
(404) 296-2070
Taxonomy
Speciality
Code
Description
License number
State
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
RN050722
GA
Other
Enumeration date
02/26/2008
Last updated
02/26/2008
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