# ALEKSANDR SUROVETS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1992756837
- **Gender:** Man
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | 004747 | GA | — |
| 367H00000X | Anesthesiologist Assistant | 004747 | GA | Yes |

## Other

- **Enumeration date:** 05/15/2006
- **Last updated:** 09/01/2010