Organization
KELLERSURGICAL ASSISTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA P KELLER CSA (OWNER)
(770) 940-0185
Entity
Organization
Contact information
Practice address
6144 STELLA LIGHT DR, FLOWERY BRANCH, GA 30542-3451
(770) 940-0185
(949) 437-3333
Mailing address
PO BOX 510, FLOWERY BRANCH, GA 30542-0009
(770) 940-0185
(949) 437-3333
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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