# SURGICAL ASSISTANT COUNSULTING OF GEORGIA L.L.C.

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

## Provider details

- **NPI number:** 1750740684
- **Authorized official:** KEVIN JABLONSKY RNFA (RNFA)
- **Authorized official phone:** (205) 250-9966

## Contact information

- **Practice address:** 5200 DALLAS HWY STE 200-224, POWDER SPRINGS, GA 30127-6318
- **Practice address phone:** (770) 687-9596
- **Mailing address:** 5200 DALLAS HWY STE 200-224, POWDER SPRINGS, GA 30127-6318

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WR0006X | Registered Nurse First Assistant | RN220938 | GA | — |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 02/20/2016
- **Last updated:** 02/20/2016