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NPI 1083946701 · live from the CMS NPI Registry

A Surgeon'S First Assistance LLC

Specialist/Technologist, Other, Surgical Assistant in Suwanee, GA. National Provider Identifier 1083946701, active.

NPI record

NPI1083946701 Type 2 · organization
StatusActive
Primary specialtySpecialist/Technologist, Other, Surgical Assistant 246ZC0007X
Practice location5245 Antler Ct, Suwanee, GA 30024
Practice phone214-227-2457
Mailing addressPo Box 3021, Duluth, GA 30096
EnumeratedFebruary 5, 2010
Last updatedJune 21, 2022
Authorized officialScot Forte, Ceo

Taxonomies and licenses

TaxonomyCodeLicense
Specialist/Technologist, Other, Surgical Technologist246ZS0410XSA00070 (TX)
Physician Assistant, Surgical363AS0400X1421 (GA)
Specialist/Technologist, Other, Surgical Assistant primary246ZC0007X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.