ELITESS SURGICAL SERVICE NPI 1043775588

NPI Information

NPI: 1043775588
Provider Name: ELITESS SURGICAL SERVICE
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
245 N HIGHLAND AVE
STE 230-451
ATLANTA, GA
ZIP 30307
Phone: (404) 935-2189
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ELITESS SURGICAL SERVICE is a surgical physician assistant in Atlanta, GA. ELITESS SURGICAL SERVICE NPI is 1043775588. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

245 N HIGHLAND AVE
STE 230-451
ATLANTA, GA
ZIP 30307-936
Phone: (404) 935-2189
Fax: (888) 265-5564

The provider's authorized official is Adam Smart .
The authorized official title is Owner and has the following contact phone number (404) 935-2189.

The enumeration date for this NPI number is 2/8/2019 and was last updated on 10/5/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery				No
2	363AS0400X	Physician Assistant	Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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