# HIGHLAND SURGICAL ASSISTANT, LLC

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

## Provider details

- **NPI number:** 1932577673
- **Authorized official:** MR. WESLEY LAGREGORY MITCHELL JR. (CEO)
- **Authorized official phone:** (770) 629-8289

## Contact information

- **Practice address:** 11340 LAKEFIELD DR, SUITE 200, JOHNS CREEK, GA 30097-1714
- **Practice address phone:** (770) 629-8289
- **Practice address fax:** (404) 393-9515
- **Mailing address:** 11340 LAKEFIELD DR, SUITE 200, JOHNS CREEK, GA 30097-1714
- **Mailing address phone:** (770) 629-8289
- **Mailing address fax:** (404) 393-9515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | 3245 | GA | Yes |

## Other

- **Enumeration date:** 09/11/2015
- **Last updated:** 09/02/2016