Organization
ELITE SURGIAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE ALAN SMITH JR. (OWNER)
(864) 978-9636
Entity
Organization
Contact information
Practice address
21 CIRCLE STREET, LA FRANCE, SC 29656-0301
(864) 978-9636
Mailing address
PO BOX 301, LA FRANCE, SC 29656-0301
(864) 978-9636
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
92776
—
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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