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Organization
PHYSICIAN ASSISTANT SURGICAL SOLUTIONS
Active
Organization
PHYSICIAN ASSISTANT SURGICAL SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSEY NICOLE PARKS PA-C (OWNER/CEO)
(770) 325-0836
Entity
Organization
Contact information
Practice address
4290 BELLS FERRY ROAD, SUITE 134 - 1032, KENNESAW, GA 30144
(770) 325-0836
(770) 670-4764
Mailing address
4290 BELLS FERRY ROAD, SUITE 134 - 1032, KENNESAW, GA 30144
(770) 325-0836
(770) 670-4764
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
246ZC0007X
Surgical Assistant
—
NULL
246ZC0007X
Surgical Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
NULL
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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