Organization
SURGICAL ASSISTING BY CARMEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN WAUGH (CSFA)
(678) 789-3057
Entity
Organization
Contact information
Practice address
2095 HIGHWAY 211 NW # 147-2F, BRASELTON, GA 30517-3402
(678) 789-3057
Mailing address
2095 HIGHWAY 211 NW # 147-2F, BRASELTON, GA 30517-3402
(678) 789-3057
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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