Organization
HIGHLAND SURGICAL ASSISTANT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WESLEY LAGREGORY MITCHELL JR. (CEO)
(770) 629-8289
Entity
Organization
Contact information
Practice address
11340 LAKEFIELD DR, SUITE 200, JOHNS CREEK, GA 30097-1714
(770) 629-8289
(404) 393-9515
Mailing address
11340 LAKEFIELD DR, SUITE 200, JOHNS CREEK, GA 30097-1714
(770) 629-8289
(404) 393-9515
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
3245
GA
Other
Enumeration date
09/11/2015
Last updated
09/02/2016
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