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Organization

PROLOGUE SURGICAL ASSISTING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERRI RYBAK CSFA (CERTIFIED SURGICAL FIRST ASSISTANT)
(770) 331-4217
Entity
Organization

Contact information

Practice address
3493 LOWER BURRIS RD, CANTON, GA 30114
(770) 331-4217
Mailing address
3493 LOWER BURRIS RD, CANTON, GA 30114-4755
(770) 331-4217

Taxonomy

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

Other

Enumeration date
08/08/2017
Last updated
07/21/2022
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