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HIGHLAND SURGICAL ASSISTANT LLC NPI 1932577673


NPI Information

NPI: 1932577673
Provider Name: HIGHLAND SURGICAL ASSISTANT, LLC
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
11340 LAKEFIELD DR
SUITE 200
JOHNS CREEK, GA
ZIP 30097
Phone: (770) 629-8289
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HIGHLAND SURGICAL ASSISTANT, LLC is a surgical physician assistant in Johns Creek, GA. HIGHLAND SURGICAL ASSISTANT, LLC NPI is 1932577673. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11340 LAKEFIELD DR
SUITE 200
JOHNS CREEK, GA
ZIP 30097-714
Phone: (770) 629-8289
Fax: (404) 393-9515

The provider's authorized official is Wesley Lagregory Mitchell .
The authorized official title is Ceo and has the following contact phone number (770) 629-8289.

The enumeration date for this NPI number is 9/11/2015 and was last updated on 9/2/2016.


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
1363AS0400XPhysician AssistantSurgical3245GEORGIAYes

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: 5/5/2024

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