CHIEF SURGICAL L.L.C. NPI 1548000813

NPI Information

  • NPI: 1548000813
  • Provider Name: CHIEF SURGICAL, L.L.C.
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Organization
  • Address: 80 SEVEN HILLS BLVD STE 101-373
    DALLAS, GA
    ZIP 30132
  • Phone: (762) 235-4343

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NPI Details

CHIEF SURGICAL, L.L.C. is a surgical physician assistant in Dallas, GA. CHIEF SURGICAL, L.L.C. NPI is 1548000813. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

80 SEVEN HILLS BLVD STE 101-373
DALLAS, GA
ZIP 30132-574
Phone: (762) 235-4343

The provider's authorized official is Herbert Cousin .
The authorized official title is Manager and has the following contact phone number (762) 235-4343.

The enumeration date for this NPI number is 5/25/2024 and was last updated on 5/25/2024.

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
1363AS0400XPhysician 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: 11/21/2025

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