Organization
NORTHEAST GEORGIA SURGICAL ASSISTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RENAH GALLAGHER CSFA (OWNER, INDEPENDENT CSFA)
(706) 870-1395
Entity
Organization
Contact information
Practice address
780 HAWKINS CREEK DR, JEFFERSON, GA 30549-5416
(706) 870-1395
Mailing address
780 HAWKINS CREEK DR, JEFFERSON, GA 30549-5416
(706) 870-1395
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
186361
CSFA CERTIFICATION NUMBER
GA
Enumeration date
01/15/2019
Last updated
01/15/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up