Icon Surgical
Icon Surgical provides Surgical Physician Assistant services in Mableton, Georgia. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
268 Saint Patrick Dr SWMableton, GA 30126-1627
Phone: (678) 825-5397
Fax: (678) 426-6243
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X |
|---|
Record details
| NPI number | 1255003455 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Pamela Clay — Administrator · (888) 265-9908 |
| Other names | Icon Surgical; Icon Surgical |
| NPI enumerated | October 5, 2021 |
| Last updated in NPPES | March 1, 2024 |
| Certification date | March 1, 2024 |
| Mailing address | 268 Saint Patrick Dr Sw, Mableton, GA 30126-1627 |