Spectrum Surgical Assisting LLC

NPI #1912315763 in Monroe, Georgia

Provider Information

NPI Number: 1912315763
Entity Type: Organization
Organization Name: Spectrum Surgical Assisting LLC
Primary Specialty: Specialist/Technologist, Other - Surgical Assistant
Enumeration Date: Jul 24, 2014
Last Updated: Mar 4, 2016

Practice Location

Address: 146 MARTIN LUTHER KING JR BLVD #302
City: Monroe
State: Georgia
ZIP Code: 30655
Phone: (386) 479-9575

Authorized Official

Name: MR. FRANK PAUL TANNER, LCSA
Title: OWNER/LICENSED CSA
Phone: (386) 960-4534

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist, Other - Surgical Assistant — Surgical Assistant	246ZC0007X	Primary

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