Organization
ELITE FIRST ASSISTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYRONE ROGERS (OWNER)
(770) 682-9565
Entity
Organization
Contact information
Practice address
1235 MAGNOLIA PARK CIR, CUMMING, GA 30040-8338
(678) 516-8905
(888) 559-0691
Mailing address
1400 MARKET PLACE BLVD, SUITE 156, CUMMING, GA 30041-7925
(678) 516-8905
(888) 267-9812
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
04/25/2007
Last updated
01/06/2012
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