# BLUE SKY SURGICAL ASSISTANTS, LLC

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

## Provider details

- **NPI number:** 1225421928
- **Authorized official:** DR. BAHAIR H GHAZI MD (CEO/OWNER)
- **Authorized official phone:** (404) 931-4915

## Contact information

- **Practice address:** 5673 PEACHTREE DUNWOODY RD, SUITE 880, ATLANTA, GA 30342-1731
- **Practice address phone:** (404) 493-4915
- **Practice address fax:** (404) 420-2536
- **Mailing address:** 5673 PEACHTREE DUNWOODY RD, SUITE 880, ATLANTA, GA 30342-1731
- **Mailing address phone:** (404) 493-4915
- **Mailing address fax:** (404) 420-2536

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | GA | Yes |

## Other

- **Enumeration date:** 03/05/2015
- **Last updated:** 03/05/2015