SOUTHEAST SURGICAL ASSISTING, LLC
NPI 1366898546
Physician Assistant - Surgical in Oxford, GA
- Organization
- Physician Assistant
- Surgical
About SOUTHEAST SURGICAL ASSISTING, LLC
This page provides the complete NPI Profile along with additional information for Southeast Surgical Assisting, Llc, a provider established in Oxford, Georgia operating as a Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1366898546 assigned on May 2016. The practitioner's primary taxonomy code is 363AS0400X with license number 165552 (GA). The provider is registered as an organization and their NPI record was last updated one year ago. Southeast Surgical Assisting, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mrs. Kristin L Garner Joseph Csfa (Owner)
- NPI
- 1366898546 Verify this NPI
- Provider Name
- SOUTHEAST SURGICAL ASSISTING, LLC
- Entity Type
- Organization
- Location Address
- 907 EMORY ST UNIT 55 OXFORD, GA 30054
- Location Phone
- (770) 596-1463
- Location Fax
- (770) 786-3102
- Mailing Address
- 907 EMORY ST UNIT 55 OXFORD, GA 30054
- Mailing Phone
- (770) 596-1463
- Mailing Fax
- (678) 660-3201
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-06-2016
- Last Update Date
- 06-20-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 165552
- License State
- GA
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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Other Providers at the Same Location
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366898546, enumerated as an "organization" on May 06, 2016.
The provider is located at 907 EMORY ST UNIT 55 OXFORD, GA 30054 and the phone number is (770) 596-1463.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.
