SURGICAL OUTSOURCING LLC
NPI 1508579814
Physician Assistant - Surgical in Hampton, GA
- Organization
- Physician Assistant
- Surgical
About SURGICAL OUTSOURCING LLC
This page provides the complete NPI Profile along with additional information for Surgical Outsourcing Llc, a provider established in Hampton, Georgia operating as a Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1508579814 assigned on January 2023. The practitioner's primary taxonomy code is 363AS0400X. The provider is registered as an organization and their NPI record was last updated one year ago. Surgical Outsourcing 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 Ms. Amy Quadrena Harriel Csfa (Owner)
- NPI
- 1508579814 Verify this NPI
- Provider Name
- SURGICAL OUTSOURCING LLC
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 11565 CREEKSTONE RD HAMPTON, GA 30228
- Location Phone
- (404) 380-0360
- Mailing Address
- 11565 CREEKSTONE RD HAMPTON, GA 30228
- Mailing Phone
- (404) 380-0360
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-02-2023
- Last Update Date
- 01-08-2026
- 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
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 1508579814, enumerated as an "organization" on January 02, 2023.
The provider is located at 11565 CREEKSTONE RD HAMPTON, GA 30228 and the phone number is (404) 380-0360.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.