Organization
KRISTY AYCINENA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY AYCINENA CSFA (SURGICAL FIRST ASSISTANT)
(678) 858-1980
Entity
Organization
Contact information
Practice address
2856 WOODBRIAR DR, GAINESVILLE, GA 30506-2890
(678) 858-1980
Mailing address
PO BOX 1604, GAINESVILLE, GA 30503-1604
(678) 858-1980
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
12/08/2023
Last updated
05/15/2024
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