Organization
SPECTRUM SURGICAL ASSISTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK PAUL TANNER LCSA (OWNER/LICENSED CSA)
(386) 960-4534
Entity
Organization
Contact information
Practice address
146 MARTIN LUTHER KING JR BLVD #302, MONROE, GA 30655
(386) 479-9575
Mailing address
146 MARTIN LUTHER KING JR BLVD #302, MONROE, GA 30655
(386) 479-9575
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
07/24/2014
Last updated
03/04/2016
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