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Elite Surgical Pc
Specialist in Smyrna, Georgia
NPI 1588094106

Elite Surgical Pc is a Specialist based in Smyrna, GA. Elite Surgical Pc practices in Smyrna, GA. The NPI Number for Elite Surgical Pc is 1588094106 and holds a License No. 024628 (Georgia).

The current practice location address for Elite Surgical Pc is 3969 S Cobb Dr Se Ste 202, Smyrna, GA and can be reached out via phone at 770-438-9191 and via fax at 770-438-9272.

Location: 3969 S Cobb Dr Se Ste 202, Smyrna, GA, 30080-6317
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588094106
Provider Name
Elite Surgical Pc
Credential
Provider Entity Type
Organization
Address
3969 S Cobb Dr Se Ste 202, Smyrna, GA, 30080-6317
Phone Number
770-438-9191
Fax Number
770-438-9272
Provider Enumeration Date
11/18/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000261665B 05 GA
institution
Provider Business Practice Location Address Details
Address
3969 S Cobb Dr Se Ste 202
City
Smyrna
State
Georgia
Zip
30080-6317
Phone Number
770-438-9191
Fax Number
770-438-9272
person
Provider Business Mailing Address Details
Address
3969 S Cobb Dr Se Ste 202
City
Smyrna
State
Georgia
Zip
30080-6317
Phone Number
770-438-9191
Fax Number
770-438-9272
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
024628 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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