Organization
OLYMPIAN SURGICAL ASSISTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON VIRDELL KING (OWNER/DIRECTOR)
(678) 517-3428
Entity
Organization
Contact information
Practice address
55 ATLANTA ST SE STE 204, MARIETTA, GA 30060-1977
(678) 517-3428
(770) 485-1534
Mailing address
PO BOX 81, MARIETTA, GA 30061-0081
(678) 517-3428
(770) 485-1534
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
051517853
GA
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
05/02/2017
Last updated
11/24/2021
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