Mainestate Surgical Services, LLC

NPI #1366892952 in Sugar Hill, Georgia

Provider Information

NPI Number
1366892952
Entity Type
Organization
Organization Name
Mainestate Surgical Services, LLC
Primary Specialty
Registered Nurse - Registered Nurse First Assistant
Enumeration Date
Jun 15, 2016
Last Updated
Jun 15, 2016

Practice Location

Address
1720 SHIRE VILLAGE DR
State
Georgia
ZIP Code
30518-2922
Phone
(678) 332-8596

Authorized Official

Name
MR. VERNON GEORGE ROUZEAU-SAUNDERS, RN, RNFA
Title
CEO
Phone
(678) 332-8596

Specialties & Taxonomy Codes

Specialty
Registered Nurse - Registered Nurse First AssistantRegistered Nurse First Assistant

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