Organization
JACKSON SURGICAL ASSISTANTS, LLC
Active
Parent organization
JACKSON SURGICAL ASSISTANTS, LLC
Other names
JSA of Virginia
Organization subpart
Yes
Provider details
NPI number
Legal business name
JACKSON SURGICAL ASSISTANTS, LLC
Authorized official
ANN H SCHAKER (DIRECTOR OF BILLING)
(678) 983-4479
Entity
Organization
Contact information
Practice address
2655 NORTHWINDS PKWY, ALPHARETTA, GA 30009-2280
(678) 983-4479
Mailing address
2600 NORTHWINDS PARKWAY, ALPHARETTA, GA 30009-2280
(678) 983-4479
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
208600000X
Surgery Physician
Primary
—
—
246ZC0007X
Surgical Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
08/22/2011
Last updated
03/31/2016
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