Organization
PINNACLE FIRST ASSIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAYLIN PENA (CSFA/CST OWNER)
(678) 315-8501
Entity
Organization
Contact information
Practice address
850 WINDYHILL RD #2552, SMYRNA, GA 30081-9998
(678) 315-8501
Mailing address
PO BOX 2552, SMYRNA, GA 30081-2552
(678) 315-8501
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
02/03/2016
Last updated
12/08/2016
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