Organization
ATLANTA SURGICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORNEL LEWIS CSA (OWNER)
(404) 254-8250
Entity
Organization
Contact information
Practice address
304 SUMMIT HEIGHTS CT, ELLENWOOD, GA 30294-2973
(404) 254-8250
Mailing address
PO BOX 898, ELLENWOOD, GA 30294-0898
(404) 254-8250
(404) 671-9110
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
2598
GA
Other
Enumeration date
08/27/2010
Last updated
03/13/2014
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