Organization
A-1 SURGICAL ASSISTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMY L LIKENS CSFA (OWNER)
(678) 447-5439
Entity
Organization
Contact information
Practice address
958 ISLAND POINTE WAY, BUFORD, GA 30518-8469
(214) 227-2457
(214) 764-0880
Mailing address
PO BOX 2550, ROWLETT, TX 75030-2550
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
174148
GA
Other
Enumeration date
06/13/2017
Last updated
11/10/2021
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