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Organization

JACKSON SURGICAL ASSISTANTS, LLC

Active
Parent organization
JACKSON SURGICAL ASSISTANTS, LLC
Other names
JSA of Maryland
Organization subpart
Yes

Provider details

NPI number
Legal business name
JACKSON SURGICAL ASSISTANTS, LLC
Authorized official
ANN H SCHAKER (BILLING DIRECTOR)
(877) 230-9617
Entity
Organization

Contact information

Practice address
2655 NORTHWINDS PKWY, ALPHARETTA, GA 30009-2280
(877) 230-9617
(877) 281-8770
Mailing address
PO BOX 543, ALPHARETTA, ALPHARETTA, GA 30009-0543
(877) 230-9627

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
246ZC0007X
Surgical Assistant
363AS0400X
Surgical Physician Assistant

Other

Enumeration date
09/10/2012
Last updated
11/13/2014
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