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Southeast Surgical Assisting, LLC

Physician Assistant, Surgical in Oxford, GA. Organization (NPI-2).

NPI number1366898546
StatusActive
Last updated in NPPESJun 20, 2025

Details

NPI
1366898546
Entity type
Organization (NPI-2)
Legal business name
Southeast Surgical Assisting, LLC
Organization subpart
No
Enumeration date
May 6, 2016
Certification date
Jun 20, 2025
Last updated
Jun 20, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AS0400X Physician Assistant, Surgical165552GAYes

Practice location

907 Emory St Unit 55
Oxford, GA 30054-1605

Phone 770-596-1463 · Fax 770-786-3102

Mailing address

907 Emory St Unit 55
Oxford, GA 30054-1605

Phone 770-596-1463 · Fax 678-660-3201

Authorized official

Kristin L Garner Joseph
Owner
7705961463

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