NPI 1457570632 · live from the CMS NPI Registry
A B A R Surgical Assist
Physician Assistant, Surgical in East Point, GA. National Provider Identifier 1457570632, active.
NPI record
| NPI | 1457570632 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Surgical 363AS0400X |
| Practice location | 3645 Marketplace Blvd, Ste 130 214, East Point, GA 30344 |
| Practice phone | 770-985-4257 |
| Enumerated | April 25, 2007 |
| Last updated | August 22, 2020 |
| Authorized official | Azzaam Rashid, Owner |
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.