ADVANCED SURGICAL ASSISTANTS LLC NPI 1487027504

NPI Information

NPI: 1487027504
Provider Name: ADVANCED SURGICAL ASSISTANTS LLC
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
1924 30TH AVE STE A
GULFPORT, MS
ZIP 39501
Phone: (228) 206-7634
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ADVANCED SURGICAL ASSISTANTS LLC is a surgical physician assistant in Gulfport, MS. ADVANCED SURGICAL ASSISTANTS LLC NPI is 1487027504. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1924 30TH AVE STE A
GULFPORT, MS
ZIP 39501-534
Phone: (228) 206-7634
Fax: (228) 206-4523

The provider's authorized official is Robert Lee Gillum .
The authorized official title is Surgical First Assistant and has the following contact phone number (228) 343-3044.

The enumeration date for this NPI number is 11/11/2015 and was last updated on 11/11/2015.

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	363AS0400X	Physician Assistant	Surgical		MISSISSIPPI	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: 11/14/2023

NPI Synchronization or Removal

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