Organization
AJ SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON D KRANENBURG CSFA (OWNER)
(937) 570-2426
Entity
Organization
Contact information
Practice address
1415 HIGHWAY 85 N STE 310-147, FAYETTEVILLE, GA 30214-7738
(214) 227-2457
(214) 764-0880
Mailing address
PO BOX 2550, ROWLETT, TX 75030-2550
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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