Organization
SURGICAL FIRST ASSISTANTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN ULMER DEWOLF CRNFA, NP-C (PRESIDENT / CEO)
(678) 488-7299
Entity
Organization
Contact information
Practice address
4542 HIGH ROCK TER, MARIETTA, GA 30066-1606
(678) 488-7299
(770) 578-8405
Mailing address
4542 HIGH ROCK TER, MARIETTA, GA 30066-1606
(678) 488-7299
(770) 578-8405
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN097274
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518966175
NPI
GA
Enumeration date
07/25/2006
Last updated
08/22/2020
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