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Organization

OASIS SURGICAL ASSISTANTS GROUP RESOURCES L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HERB COUSIN (CEO)
(470) 336-8190
Entity
Organization

Contact information

Practice address
1720 MARS HILL RD NW STE 8-175, ACWORTH, GA 30101-7127
(470) 336-8190
Mailing address
1720 MARS HILL RD NW STE 8-175, ACWORTH, GA 30101-7127

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
06/13/2019
Last updated
06/13/2019
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