Organization
AK SURGICAL ASSISTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA M KENNEDY CSFA (CEO)
(678) 656-6819
Entity
Organization
Contact information
Practice address
2023 GRAYSON HWY STE 201, GRAYSON, GA 30017-5047
(678) 656-6819
(678) 985-4855
Mailing address
2023 GRAYSON HWY STE 201, GRAYSON, GA 30017-5047
(770) 978-1400
(678) 656-6819
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
GA
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
03/28/2018
Last updated
02/01/2023
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