Organization
NORTHEAST GEORGIA SURGICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GAIL DETRAZ (ADMINISTRATOR)
(770) 536-5733
Entity
Organization
Contact information
Practice address
1075 JESSE JEWELL PKWY NE STE B, GAINESVILLE, GA 30501-3814
(770) 536-5733
(770) 532-8007
Mailing address
1075 JESSE JEWELL PKWY NE STE B, GAINESVILLE, GA 30501-3814
(770) 536-5733
(770) 532-8007
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/21/2006
Last updated
08/22/2020
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