PHYSICIAN ASSISTANT SURGICAL SOLUTIONS NPI 1205440054

NPI Information

  • NPI: 1205440054
  • Provider Name: PHYSICIAN ASSISTANT SURGICAL SOLUTIONS
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Organization
  • Address: 4290 BELLS FERRY ROAD
    SUITE 134 - 1032
    KENNESAW, GA
    ZIP 30144
  • Phone: (770) 325-0836

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NPI Details

PHYSICIAN ASSISTANT SURGICAL SOLUTIONS is a surgical physician assistant in Kennesaw, GA. PHYSICIAN ASSISTANT SURGICAL SOLUTIONS NPI is 1205440054. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4290 BELLS FERRY ROAD
SUITE 134 - 1032
KENNESAW, GA
ZIP 30144
Phone: (770) 325-0836
Fax: (770) 670-4764

The provider's authorized official is Lindsey Nicole Parks .
The authorized official title is Owner/ceo and has the following contact phone number (770) 325-0836.

The enumeration date for this NPI number is 8/31/2020 and was last updated on 8/31/2020.

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
1208600000XSurgeryNo
2246ZC0007XSpecialist/Technologist, OtherSurgical AssistantNo
3363AS0400XPhysician AssistantSurgicalYes

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: 3/30/2025

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