Individual
ALEKSANDR SUROVETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5665 PEACHTREE DUNWOODY RD NE, SUITE 150, ATLANTA, GA 30342-1764
(404) 252-6104
Mailing address
PO BOX 70547, MARIETTA, GA 30007-0547
(770) 579-1894
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
004747
GA
367H00000X
Anesthesiologist Assistant
Primary
004747
GA
Other
Enumeration date
05/15/2006
Last updated
09/01/2010
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