NPI 1710390356 · live from the CMS NPI Registry
Academy Surgical Assistants,LLC
Physician Assistant, Surgical in Atlanta, GA. National Provider Identifier 1710390356, active.
NPI record
| NPI | 1710390356 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Surgical 363AS0400X |
| Practice location | 7225 Northgreen Dr, Atlanta, GA 30328 |
| Practice phone | 404-425-2480 |
| Mailing address | Po Box 28581, Atlanta, GA 30358 |
| Enumerated | June 10, 2014 |
| Last updated | September 23, 2015 |
| Authorized official | Bassem Elkhayat, C.E.O |
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.