# ATLANTIC SURGICAL ASSISTANTS, INC

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

## Provider details

- **NPI number:** 1548721806
- **Authorized official:** EDWARD A LEGARE CSA/LSA (OWNER)
- **Authorized official phone:** (757) 353-9603

## Contact information

- **Practice address:** 4656 LARKWOOD DR, VIRGINIA BEACH, VA 23464-5817
- **Practice address phone:** (888) 322-6432
- **Practice address fax:** (888) 329-6432
- **Mailing address:** 4656 LARKWOOD DR, VIRGINIA BEACH, VA 23464-5817
- **Mailing address phone:** (888) 322-6432
- **Mailing address fax:** (888) 329-6432

## Taxonomy

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

## Other

- **Enumeration date:** 03/28/2019
- **Last updated:** 09/17/2023