Peachtree Surgical Assistants INC

NPI #1184252595 in Canton, Georgia

Provider Information

NPI Number: 1184252595
Entity Type: Organization
Organization Name: Peachtree Surgical Assistants INC
Primary Specialty: Specialist
Enumeration Date: Mar 31, 2020
Last Updated: Mar 31, 2020

Practice Location

Address: 59 ANDERSON AVE APT 127
City: Canton
State: Georgia
ZIP Code: 30114-2330
Phone: (855) 816-7112

Authorized Official

Name: THOMAS KIRK
Title: CHIEF EXECUTIVE OFFICER
Phone: (832) 804-8703

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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