# SIGNATURE SURGICAL ASSISTANTS

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

## Provider details

- **NPI number:** 1396013223
- **Authorized official:** HONGFENG SHI CSA (OWNER, PRESIDENT)
- **Authorized official phone:** (888) 265-9908

## Contact information

- **Practice address:** 2489 KINGS ARMS DR NE, ATLANTA, GA 30345-2132
- **Practice address phone:** (888) 265-9908
- **Practice address fax:** (888) 265-5564
- **Mailing address:** 2489 KINGS ARMS DR NE, ATLANTA, GA 30345-2132
- **Mailing address phone:** (888) 265-9908
- **Mailing address fax:** (888) 265-5564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 12/07/2011
- **Last updated:** 12/07/2011