Organization
CRANFORD, POWELL, AND MORRIS ADVANCED SURGICAL SPECIALISTS LLC
Active
Other names
CPM Advanced Surgical Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA BAKER-ALLEN (PRACTICE MANAGER)
(770) 502-2195
Entity
Organization
Contact information
Practice address
775 POPLAR RD, SUITE 350, NEWNAN, GA 30265-8300
(770) 502-2150
Mailing address
775 POPLAR RD, SUITE 350, NEWNAN, GA 30265-8300
(770) 502-2150
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
22738
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000020226J
—
GA
05
—
000256055D
—
GA
05
—
610657035C
—
GA
05
—
776369717E
—
GA
Enumeration date
11/13/2013
Last updated
11/13/2013
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