# SURGICAL ASSIST,L.L.C.

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

## Provider details

- **NPI number:** 1669420048
- **Authorized official:** MR. HENRY J.R. JACOBS C.S.A. (PRESIDENT/CEO)
- **Authorized official phone:** (804) 239-8208

## Contact information

- **Practice address:** 3913 MORTON DR, RICHMOND, VA 23223-1287
- **Practice address phone:** (804) 239-8208
- **Practice address fax:** (804) 249-9132
- **Mailing address:** PO BOX 1041, MECHANICSVILLE, VA 23111-1041
- **Mailing address phone:** (804) 239-8208
- **Mailing address fax:** (804) 249-9132

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | 3123 | VA | Yes |

## Other

- **Enumeration date:** 05/05/2006
- **Last updated:** 07/12/2009