# CLASSIC CITY SURGICAL ASSISTANTS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033843305
- **Authorized official:** CAROLINE BATSON CSFA (OWNER)
- **Authorized official phone:** (706) 202-5866

## Contact information

- **Practice address:** 1230 BAXTER ST, ATHENS, GA 30606-3712
- **Practice address phone:** (706) 202-5866
- **Mailing address:** PO BOX 942, COLBERT, GA 30628-0942

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246ZC0007X | Surgical Assistant | — | NULL | — |
| 246ZC0007X | Surgical Assistant | — | — | — |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 07/13/2022
- **Last updated:** 08/02/2022