Organization
VDS SURGICAL ASSISTANTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA G VON DER SCHULENBURG (PRESIDENT)
(678) 951-4576
Entity
Organization
Contact information
Practice address
1307 W GARMON RD, ATLANTA, GA 30327-4405
(678) 951-4576
Mailing address
1307 W GARMON RD, ATLANTA, GA 30327-4405
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
003997
GA
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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