# ELITE FIRST ASSISTING

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

## Provider details

- **NPI number:** 1528206836
- **Authorized official:** TYRONE W ROGERS CSA (OWNER)
- **Authorized official phone:** (707) 338-5520

## Contact information

- **Practice address:** 1235 MAGNOLIA PARK CIR, CUMMING, GA 30040-8338
- **Practice address phone:** (707) 338-5520
- **Mailing address:** 1235 MAGNOLIA PARK CIR, CUMMING, GA 30040-8338
- **Mailing address phone:** (707) 338-5520

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | 2838 | GA | Yes |

## Other

- **Enumeration date:** 01/23/2009
- **Last updated:** 01/26/2009
