SOUTHEAST SURGICAL ASSISTING LLC NPI 1366898546

NPI Information

NPI: 1366898546
Provider Name: SOUTHEAST SURGICAL ASSISTING, LLC
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
1062 GUM CREEK ROAD
OXFORD, GA
ZIP 30054
Phone: (770) 596-1463
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SOUTHEAST SURGICAL ASSISTING, LLC is a surgical physician assistant in Oxford, GA. SOUTHEAST SURGICAL ASSISTING, LLC NPI is 1366898546. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1062 GUM CREEK ROAD
OXFORD, GA
ZIP 30054-000
Phone: (770) 596-1463
Fax: (678) 660-3201

The provider's authorized official is Kristin L Garner Joseph .
The authorized official title is Owner and has the following contact phone number (770) 596-1463.

The enumeration date for this NPI number is 5/6/2016 and was last updated on 10/26/2020.

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
1	363AS0400X	Physician Assistant	Surgical	165552	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: 4/28/2024

NPI Synchronization or Removal

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