# OASIS SURGICAL ASSISTANTS L.L.C.

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

## Provider details

- **NPI number:** 1336561133
- **Authorized official:** HERBERT LOUIS COUSIN JR. CSA (OWNER)
- **Authorized official phone:** (770) 875-1243

## Contact information

- **Practice address:** 6110 CEDARCREST RD NW, SUITE 350-184, ACWORTH, GA 30101-9539
- **Practice address phone:** (770) 875-1243
- **Practice address fax:** (404) 464-0781
- **Mailing address:** 6110 CEDARCREST RD NW, SUITE 350-184, ACWORTH, GA 30101-9539
- **Mailing address phone:** (770) 875-1243
- **Mailing address fax:** (404) 464-0781

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | 4019 | GA | Yes |

## Other

- **Enumeration date:** 01/13/2014
- **Last updated:** 01/13/2014