Organization
PROFOUND SURGICAL ASSISTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UTON WILLIAMS CSA (OWNER)
(770) 940-0185
Entity
Organization
Contact information
Practice address
5401 SAND BAR LN, COLLEGE PARK, GA 30349-3063
(214) 227-2457
(214) 764-0880
Mailing address
5401 SAND BAR LN, COLLEGE PARK, GA 30349-3063
(770) 940-0185
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
03/09/2020
Last updated
08/27/2022
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