# NORTHEAST GA MIDLEVEL SERVICES

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

## Provider details

- **NPI number:** 1811321011
- **Authorized official:** MRS. CHRISTINE OSTROSKI PA-C (OWNER)
- **Authorized official phone:** (706) 338-3898

## Contact information

- **Practice address:** 43031 PARKSIDE CT, BABCOCK RANCH, FL 33982-5065
- **Practice address phone:** (706) 338-3898
- **Mailing address:** 43031 PARKSIDE CT, BABCOCK RANCH, FL 33982-5065
- **Mailing address phone:** (706) 338-3898

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | 4789 | GA | Yes |

## Other

- **Enumeration date:** 08/25/2013
- **Last updated:** 09/13/2021