Organization
METRO SURGICAL ASSISTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERRELL NESMITH CSA (CERTIFIED SURGICAL ASSISTANT)
(404) 932-0637
Entity
Organization
Contact information
Practice address
3091 COBB PKWY NW APT 1315, KENNESAW, GA 30152-8000
(404) 932-0637
Mailing address
3091 COBB PKWY NW APT 1315, KENNESAW, GA 30152-8000
(404) 932-0637
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2840
GA
Other
Enumeration date
07/27/2010
Last updated
07/27/2010
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