# SOUTHEAST SURGICAL ASSISTING, LLC

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

## Provider details

- **NPI number:** 1366898546
- **Authorized official:** MRS. KRISTIN L GARNER JOSEPH CSFA (OWNER)
- **Authorized official phone:** (770) 596-1463

## Contact information

- **Practice address:** 907 EMORY ST UNIT 55, OXFORD, GA 30054-1605
- **Practice address phone:** (770) 596-1463
- **Practice address fax:** (770) 786-3102
- **Mailing address:** 907 EMORY ST UNIT 55, OXFORD, GA 30054-1605
- **Mailing address phone:** (770) 596-1463
- **Mailing address fax:** (678) 660-3201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | 165552 | GA | Yes |

## Other

- **Enumeration date:** 05/06/2016
- **Last updated:** 06/20/2025
