SOUTHEAST SURGICAL ASSISTANTS LLC NPI 1154697357

NPI Information

NPI: 1154697357
Provider Name: SOUTHEAST SURGICAL ASSISTANTS, LLC
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
5008 SUSSEX DR
EVANS, GA
ZIP 30809
Phone: (706) 650-7788
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SOUTHEAST SURGICAL ASSISTANTS, LLC is a surgical physician assistant in Evans, GA. SOUTHEAST SURGICAL ASSISTANTS, LLC NPI is 1154697357. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5008 SUSSEX DR
EVANS, GA
ZIP 30809-231
Phone: (706) 650-7788
Fax: (800) 615-6836

The provider's authorized official is Jeffrey Punshon .
The authorized official title is Managing Partner and has the following contact phone number (706) 650-7788.

The enumeration date for this NPI number is 4/1/2012 and was last updated on 4/1/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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