Organization · NPI-2

Academy Surgical Assistants,llc

Physician Assistant, Surgical · Atlanta, GA

NPI number1710390356
StatusActive
Last updated in NPPESSep 23, 2015

Details

NPI
1710390356
Entity type
Organization (NPI-2)
Legal business name
Academy Surgical Assistants,llc
Organization subpart
No
Enumeration date
Jun 10, 2014
Last updated
Sep 23, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AS0400X Physician Assistant, Surgical––Yes

Practice location

7225 Northgreen Dr
Atlanta, GA 30328-1401

Phone 404-425-2480

Mailing address

Po Box 28581
Atlanta, GA 30358-0581

Phone 404-425-2480

Authorized official

Bassem Elkhayat
C.E.O
4044252480

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