Organization
SURGICAL ASSISTANT SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELYN GABRIELLE KISTENBERG RNFA (MANAGER)
(404) 636-0096
Entity
Organization
Contact information
Practice address
3522 ASHFORD DUNWOODY RD NE # 141, BROOKHAVEN, GA 30319-2002
(404) 636-0096
Mailing address
3522 ASHFORD DUNWOODY RD NE # 141, BROOKHAVEN, GA 30319-2002
(404) 636-0096
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
195446
GA
Other
Enumeration date
06/09/2015
Last updated
08/21/2015
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