Organization
SURGICAL ASSISTANT COUNSULTING OF GEORGIA L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JABLONSKY RNFA (RNFA)
(205) 250-9966
Entity
Organization
Contact information
Practice address
5200 DALLAS HWY STE 200-224, POWDER SPRINGS, GA 30127-6318
(770) 687-9596
Mailing address
5200 DALLAS HWY STE 200-224, POWDER SPRINGS, GA 30127-6318
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
RN220938
GA
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
02/20/2016
Last updated
02/20/2016
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