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Contact Information

PROLOGUE SURGICAL ASSISTING, LLC
3493 LOWER BURRIS RD
CANTON, GA30114
 Phone: 770-331-4217
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for PROLOGUE SURGICAL ASSISTING, LLC

NPI Number 1407371768
LBN Legal business name PROLOGUE SURGICAL ASSISTING, LLC
Authorized official TERRI RYBAK - (CERTIFIED SURGICAL FIRST ASSISTANT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/08/2017
Last updated 07/21/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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