Organization
SIGNATURE SURGICAL ASSISTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HONGFENG SHI CSA (OWNER, PRESIDENT)
(888) 265-9908
Entity
Organization
Contact information
Practice address
2489 KINGS ARMS DR NE, ATLANTA, GA 30345-2132
(888) 265-9908
(888) 265-5564
Mailing address
2489 KINGS ARMS DR NE, ATLANTA, GA 30345-2132
(888) 265-9908
(888) 265-5564
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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