# SURGIVUE FIRST ASSISTING

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1821472077
- **Authorized official:** PAM PHILLIP (CREDENTIALING MANAGER)
- **Authorized official phone:** (770) 985-4257

## Contact information

- **Practice address:** 5865 SINCLAIR WAY, JONESBORO, GA 30238
- **Practice address phone:** (770) 985-4257
- **Practice address fax:** (770) 985-4258
- **Mailing address:** 5865 SINCLAIR WAY, JONESBORO, GA 30238
- **Mailing address phone:** (770) 985-4257
- **Mailing address fax:** (770) 985-4258

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | RN183039 | GA | Yes |

## Other

- **Enumeration date:** 07/17/2015
- **Last updated:** 07/17/2015