Southern Surgical Assistants, LLC

NPI #1063687267 in Braselton, Georgia

Provider Information

NPI Number
1063687267
Entity Type
Organization
Organization Name
Southern Surgical Assistants, LLC
Primary Specialty
Nurse Practitioner
Enumeration Date
Apr 28, 2008
Last Updated
Nov 28, 2018

Practice Location

Address
5742 ALLEE WAY
State
Georgia
ZIP Code
30517
Phone
(678) 591-8344

Authorized Official

Name
JOSEPH HENRY KANCLERZ, ARNP, RNFA
Title
OWNER
Phone
(678) 591-8644

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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