# COCCORA SURGICAL SERVICES LLC

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

## Provider details

- **NPI number:** 1184183519
- **Authorized official:** ALEXANDER HECKMAN PA (OWNER)
- **Authorized official phone:** (973) 699-5658

## Contact information

- **Practice address:** 3385 FLORAL CT, SUWANEE, GA 30024-2833
- **Practice address phone:** (973) 699-5658
- **Mailing address:** 3385 FLORAL CT, SUWANEE, GA 30024-2833
- **Mailing address phone:** (973) 699-5658

## Taxonomy

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

## Other

- **Enumeration date:** 03/15/2019
- **Last updated:** 03/15/2019