# RISING SURGICAL SERVICES, LLC

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

## Provider details

- **NPI number:** 1639898034
- **Authorized official:** MRS. TOREY CHARLISE DAVIS-BOGAN SA-C (OWNER)
- **Authorized official phone:** (317) 664-0771

## Contact information

- **Practice address:** 3105 ROME CT SW, MARIETTA, GA 30064-4423
- **Practice address phone:** (317) 664-0771
- **Mailing address:** 3105 ROME CT SW, MARIETTA, GA 30064-4423
- **Mailing address phone:** (317) 664-0771

## Taxonomy

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

## Other

- **Enumeration date:** 08/26/2022
- **Last updated:** 08/26/2022