# STH LLC

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

## Provider details

- **NPI number:** 1699542183
- **Authorized official:** SEAN PARKER (MANAGER)
- **Authorized official phone:** (980) 254-2256

## Contact information

- **Practice address:** 2086 JODECO RD \# 1251, MCDONOUGH, GA 30253-5220
- **Practice address phone:** (980) 254-2256
- **Mailing address:** 2086 JODECO RD \# 1251, MCDONOUGH, GA 30253-5220
- **Mailing address phone:** (980) 254-2256

## Taxonomy

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

## Other

- **Enumeration date:** 12/05/2023
- **Last updated:** 01/18/2024