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Organization

RUAN SURGICAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENYA RUAN CSA (OWNER, PRESIDENT)
(404) 671-9556
Entity
Organization

Contact information

Practice address
950 CREEK COVE WAY, LOGANVILLE, GA 30052-8606
(404) 671-9556
Mailing address
PO BOX 1251, REDAN, GA 30074-1251
(404) 671-9556

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
10/12/2011
Last updated
10/12/2011
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