NPI 1245778075 · live from the CMS NPI Registry
Cutting Edge Surgical Group, LLC
Registered Nurse, Registered Nurse First Assistant in Moreland, GA. National Provider Identifier 1245778075, active.
NPI record
| NPI | 1245778075 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Registered Nurse First Assistant 163WR0006X |
| Practice location | 190 Bear Creek Rd, Moreland, GA 30259 |
| Practice phone | 770-317-0814 |
| Enumerated | January 31, 2017 |
| Last updated | January 31, 2017 |
| Authorized official | Melissa Carroll, Rnfa |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Registered Nurse First Assistant primary | 163WR0006X | 113659 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.