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PS

PA-C SURGICAL ASSIST, LLC

Adult Day Care

OIG CLEARNPI VERIFIED
Location
DECATUR, GA
Licensed since
2020
Rate
Federal identifiers
NPI registry number1801413174
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
RevalidationDue 2026-01-31
Authorized official
NameTIFFANY GIBBERT
TitleOWNER
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