SOUTHEASTERN ORTHOPEDIC SURGICAL PA LLC NPI 1982093480

NPI Information

NPI: 1982093480
Provider Name: SOUTHEASTERN ORTHOPEDIC SURGICAL PA, LLC
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
2801 N DECATUR RD
SUITE 200
DECATUR, GA
ZIP 30033
Phone: (404) 296-5005
Get Directions

SOUTHEASTERN ORTHOPEDIC SURGICAL PA, LLC is a surgical physician assistant in Decatur, GA. SOUTHEASTERN ORTHOPEDIC SURGICAL PA, LLC NPI is 1982093480. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2801 N DECATUR RD
SUITE 200
DECATUR, GA
ZIP 30033-949
Phone: (404) 296-5005

The provider's authorized official is Rachel Keiper .
The authorized official title is Owner and has the following contact phone number (615) 830-6823.

The enumeration date for this NPI number is 1/21/2015 and was last updated on 1/21/2015.

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	7462	GEORGIA	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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »