MOORE SURGICAL ASSISTANT LLC NPI 1679017750

NPI Information

  • NPI: 1679017750
  • Provider Name: MOORE SURGICAL ASSISTANT, LLC
  • Classification: Specialist/Technologist, Other - 246ZC0007X
  • Specialization: Surgical Assistant
  • Entity Type: Organization
  • Address: 80 MOORE RD
    KINGSTON, GA
    ZIP 30145
  • Phone: (770) 842-1857

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NPI Details

MOORE SURGICAL ASSISTANT, LLC is a surgical assistant specialist technologist other in Kingston, GA. The provider is a surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. MOORE SURGICAL ASSISTANT, LLC NPI is 1679017750. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

80 MOORE RD
KINGSTON, GA
ZIP 30145-619
Phone: (770) 842-1857
Fax: (770) 606-0600

The provider's authorized official is Vicki L Moore .
The authorized official title is Preisdent and has the following contact phone number (770) 842-1857.

The enumeration date for this NPI number is 12/8/2016 and was last updated on 12/8/2016.

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
1246ZC0007XSpecialist/Technologist, OtherSurgical AssistantYes

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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