Icon Surgical

NPI #1255003455 in Mableton, Georgia

Provider Information

NPI Number
1255003455
Entity Type
Organization
Organization Name
Icon Surgical
Primary Specialty
Physician Assistant - Surgical
Enumeration Date
Oct 5, 2021
Last Updated
Mar 1, 2024

Practice Location

Address
268 SAINT PATRICK DR SW
State
Georgia
ZIP Code
30126-1627
Phone
(678) 825-5397

Authorized Official

Name
MRS. PAMELA CLAY
Title
ADMINISTRATOR
Phone
(888) 265-9908

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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