A Surgeon'S First Assistance LLC
Specialist/Technologist, Other, Surgical Assistant in Suwanee, GA. Organization (NPI-2).
NPI number1083946701
StatusActive
Last updated in NPPESJun 21, 2022
Details
- NPI
- 1083946701
- Entity type
- Organization (NPI-2)
- Legal business name
- A Surgeon'S First Assistance LLC
- Organization subpart
- No
- Enumeration date
- Feb 5, 2010
- Certification date
- Jun 21, 2022
- Last updated
- Jun 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | – | – | Yes |
| 246ZS0410X | Specialist/Technologist, Other, Surgical Technologist | SA00070 | TX | |
| 363AS0400X | Physician Assistant, Surgical | 1421 | GA |
Practice location
5245 Antler CtSuwanee, GA 30024-4114
Phone 214-227-2457 · Fax 214-764-0880
Mailing address
Po Box 3021Duluth, GA 30096-0052
Phone 214-227-2457 · Fax 214-764-0880
Authorized official
Scot G Forte
Ceo
2142272457
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