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Organization
ELITE SURGICAL ASSISTING LLC
Active
Organization
ELITE SURGICAL ASSISTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADFORD A JOSEPH CSFA (OWNER)
(770) 899-4908
Entity
Organization
Contact information
Practice address
2442 PLANTERS MILL WAY, CONYERS, GA 30012-3691
(214) 227-2457
(214) 764-0880
Mailing address
PO BOX 1013, CONYERS, GA 30012-1013
(770) 899-4908
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
NULL
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
02/19/2015
Last updated
10/31/2023
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