# SOUTHEAST SURGICAL ASSISTANTS, LLC

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

## Provider details

- **NPI number:** 1154697357
- **Authorized official:** MR. JEFFREY PUNSHON (MANAGING PARTNER)
- **Authorized official phone:** (706) 650-7788

## Contact information

- **Practice address:** 5008 SUSSEX DR, EVANS, GA 30809-8231
- **Practice address phone:** (706) 650-7788
- **Practice address fax:** (800) 615-6836
- **Mailing address:** 5008 SUSSEX DR, EVANS, GA 30809-8231
- **Mailing address phone:** (706) 650-7788
- **Mailing address fax:** (800) 615-6836

## Taxonomy

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

## Other

- **Enumeration date:** 04/01/2012
- **Last updated:** 04/01/2012
