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SGI SURGICAL LLC NPI 1972822062


NPI Information

NPI: 1972822062
Provider Name: SGI SURGICAL LLC
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
65 MOTE CROSSING RD
COVINGTON, GA
ZIP 30016
Phone: (770) 354-6940
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SGI SURGICAL LLC is a surgical physician assistant in Covington, GA. SGI SURGICAL LLC NPI is 1972822062. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

65 MOTE CROSSING RD
COVINGTON, GA
ZIP 30016-253
Phone: (770) 354-6940
Fax: (404) 671-9110

The provider's authorized official is Stephanie Ingram .
The authorized official title is Csa and has the following contact phone number (770) 354-6940.

The enumeration date for this NPI number is 5/27/2010 and was last updated on 5/27/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AS0400XPhysician AssistantSurgical3135GEORGIAYes

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: 11/14/2023

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