Provider Demographics
NPI:1639392053
Name:CT SURGICAL, INC.
Entity Type:Organization
Organization Name:CT SURGICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, CEO
Authorized Official - Prefix:
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BULLARD
Authorized Official - Suffix:
Authorized Official - Credentials:CSA, CFA
Authorized Official - Phone:678-574-5338
Mailing Address - Street 1:4053 E SPRING MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-7237
Mailing Address - Country:US
Mailing Address - Phone:678-574-5338
Mailing Address - Fax:678-574-5423
Practice Address - Street 1:4053 E SPRING MEADOW DR
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-7237
Practice Address - Country:US
Practice Address - Phone:678-574-5338
Practice Address - Fax:678-574-5423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical TechnologistGroup - Single Specialty