Organization
SOUTH ATLANTA SURGICAL ASSISTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARSHA TAYLOR AYERS RNFA (PRESIDENT)
(770) 231-1598
Entity
Organization
Contact information
Practice address
1255 HIGHWAY 54 W, FAYETTEVILLE, GA 30214-4526
(770) 231-1598
Mailing address
824 MAPLE DR, GRIFFIN, GA 30224-4919
(770) 231-1598
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN069470
GA
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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