Aa Surgical LLC
Physician Assistant, Surgical in Marietta, GA. Organization (NPI-2).
NPI number1245078955
StatusActive
Last updated in NPPESJul 17, 2024
Details
- NPI
- 1245078955
- Entity type
- Organization (NPI-2)
- Legal business name
- Aa Surgical LLC
- Organization subpart
- No
- Enumeration date
- Jul 17, 2024
- Certification date
- Jul 17, 2024
- Last updated
- Jul 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | – | – | Yes |
Practice location
4151 Praline CtMarietta, GA 30066-2394
Phone 770-882-5276
Mailing address
4151 Praline CtMarietta, GA 30066-2394
Phone 770-882-5276
Authorized official
Aneeta Anderson
Csa
7708825276
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