Organization
SURGICAL MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE GRANT PA-C (CEO)
(770) 985-4257
Entity
Organization
Contact information
Practice address
1372 WELLBROOK CIR NE, CONYERS, GA 30012-3872
(770) 985-4257
Mailing address
PO BOX 391824, SNELLVILLE, GA 30039-0031
(770) 985-4257
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
044534882
GA
Other
Enumeration date
06/06/2008
Last updated
06/06/2008
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