Organization
SAS ANCILLARY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN DENISE FORRISTER (C.O.O.)
(770) 736-3028
Entity
Organization
Contact information
Practice address
3100 FIVE FORKS TRICKUM RD SW, SUITE 202, LILBURN, GA 30047-1890
(770) 736-3028
(770) 736-3345
Mailing address
3100 FIVE FORKS TRICKUM RD SW, SUITE 202, LILBURN, GA 30047-1890
(770) 736-3028
(770) 736-3345
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
GA
Other
Enumeration date
09/23/2009
Last updated
10/13/2010
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