Organization
SPEIGHTS SURGICAL SUITES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDNE SPEIGHTS M.D./C.S.A. (C.E.O.)
(404) 646-5234
Entity
Organization
Contact information
Practice address
150 RAVENCLIFF LN, COLLEGE PARK, GA 30349-4928
(770) 909-3033
Mailing address
805 SOUTH GLYNN STREET, SUITE 127-135, FAYETTEVILLE, GA 30214
(404) 646-5234
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
01/28/2008
Last updated
11/18/2013
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