Organization
DBF SURGICAL ASSISTANT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAVIDETTA FREEMAN CST, SFA (CST, SFA)
(678) 425-4344
Entity
Organization
Contact information
Practice address
1473 ALAMEIN DR, LAWRENCEVILLE, GA 30046-2862
(678) 425-4344
(678) 403-0334
Mailing address
1473 ALAMEIN DR, LAWRENCEVILLE, GA 30046-2862
(678) 425-4344
(678) 403-0334
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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