STELLAR SURGICAL ASSISTING NPI 1265071229

NPI Information

NPI: 1265071229
Provider Name: STELLAR SURGICAL ASSISTING
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
3446 WINDER HWY STE M-322
FLOWERY BRANCH, GA
ZIP 30542
Phone: (470) 925-2802
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STELLAR SURGICAL ASSISTING is a surgical physician assistant in Flowery Branch, GA. STELLAR SURGICAL ASSISTING NPI is 1265071229. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3446 WINDER HWY STE M-322
FLOWERY BRANCH, GA
ZIP 30542-007
Phone: (470) 925-2802

The provider's authorized official is Christopher Coles .
The authorized official title is Ceo and has the following contact phone number (470) 925-2802.

The enumeration date for this NPI number is 12/22/2019 and was last updated on 12/22/2019.

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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