# SOUTHERN SURGICAL ASSISTANTS, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1063687267
- **Authorized official:** JOSEPH HENRY KANCLERZ ARNP, RNFA (OWNER)
- **Authorized official phone:** (678) 591-8644

## Contact information

- **Practice address:** 5742 ALLEE WAY, BRASELTON, GA 30517
- **Practice address phone:** (678) 591-8344
- **Practice address fax:** (770) 965-3365
- **Mailing address:** PO BOX 7042, CHESTNUT MOUNTAIN, GA 30502-0042
- **Mailing address phone:** (678) 591-8344
- **Mailing address fax:** (770) 965-3365

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/28/2008
- **Last updated:** 11/28/2018