NPI 1245078955 · live from the CMS NPI Registry
Aa Surgical LLC
Physician Assistant, Surgical in Marietta, GA. National Provider Identifier 1245078955, active.
NPI record
| NPI | 1245078955 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Surgical 363AS0400X |
| Practice location | 4151 Praline Ct, Marietta, GA 30066 |
| Practice phone | 770-882-5276 |
| Enumerated | July 17, 2024 |
| Last updated | July 17, 2024 |
| Authorized official | Aneeta Anderson, Csa |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Surgical primary | 363AS0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.