# ELITE SURGICAL ASSISTING LLC

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

## Provider details

- **NPI number:** 1427440015
- **Authorized official:** BRADFORD A JOSEPH CSFA (OWNER)
- **Authorized official phone:** (770) 899-4908

## Contact information

- **Practice address:** 2442 PLANTERS MILL WAY, CONYERS, GA 30012-3691
- **Practice address phone:** (214) 227-2457
- **Practice address fax:** (214) 764-0880
- **Mailing address:** PO BOX 1013, CONYERS, GA 30012-1013
- **Mailing address phone:** (770) 899-4908

## Taxonomy

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

## Other

- **Enumeration date:** 02/19/2015
- **Last updated:** 10/31/2023