Organization
PREMIER SURGICAL MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
L COUSINS (DIRECTOR)
(404) 369-3041
Entity
Organization
Contact information
Practice address
1720 MARS HILL RD NW, 8-122, ACWORTH, GA 30101-7127
(404) 369-3041
Mailing address
1720 MARS HILL RD NW, 8-122, ACWORTH, GA 30101-7127
(404) 369-3041
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
12/11/2014
Last updated
12/12/2016
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