Organization
ABSOLUTE SURGICAL ASSISTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE LARUE (CEO)
(770) 330-5549
Entity
Organization
Contact information
Practice address
4653 POND LN, MARIETTA, GA 30062-5618
(770) 330-5549
Mailing address
4653 POND LN, MARIETTA, GA 30062-5618
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
RN195446
GA
246ZC0007X
Surgical Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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