# SURGASSIST PLLC

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

## Provider details

- **NPI number:** 1174103576
- **Authorized official:** SHAWN O'KEEFE PA (PRESIDENT)
- **Authorized official phone:** (704) 396-0847

## Contact information

- **Practice address:** 15720 BRIXHAM AVE, SUITE 300, CHARLOTTE, NC 28277
- **Practice address phone:** (704) 396-0847
- **Mailing address:** 15720 BRIXHAM HILL AVE STE 300, CHARLOTTE, NC 28277-4784

## Taxonomy

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

## Other

- **Enumeration date:** 04/09/2021
- **Last updated:** 05/21/2021