# PHYSICIAN ASSISTANT SURGICAL SOLUTIONS

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

## Provider details

- **NPI number:** 1205440054
- **Authorized official:** LINDSEY NICOLE PARKS PA-C (OWNER/CEO)
- **Authorized official phone:** (770) 325-0836

## Contact information

- **Practice address:** 4290 BELLS FERRY ROAD, SUITE 134 - 1032, KENNESAW, GA 30144
- **Practice address phone:** (770) 325-0836
- **Practice address fax:** (770) 670-4764
- **Mailing address:** 4290 BELLS FERRY ROAD, SUITE 134 - 1032, KENNESAW, GA 30144
- **Mailing address phone:** (770) 325-0836
- **Mailing address fax:** (770) 670-4764

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 246ZC0007X | Surgical Assistant | — | NULL | — |
| 246ZC0007X | Surgical Assistant | — | — | — |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 08/31/2020
- **Last updated:** 08/31/2020