Organization
TL SURGICAL ASSISTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TUAN MINH KHONG SA-C (OWNER)
(678) 694-8218
Entity
Organization
Contact information
Practice address
6301 SOUTHLAND RDG, STONE MOUNTAIN, GA 30087-4996
(678) 756-4541
Mailing address
6301 SOUTHLAND RDG, STONE MOUNTAIN, GA 30087-4996
(678) 694-8218
(678) 587-5374
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
12/16/2018
Last updated
08/03/2024
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