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Contact Information

ADVANCED SURGICAL ASSISTANTS LLC
1924 30TH AVE STE A
GULFPORT, MS39501-4534
 Phone: 228-206-7634
 Fax: 228-206-4523
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ADVANCED SURGICAL ASSISTANTS LLC

NPI Number 1487027504
LBN Legal business name ADVANCED SURGICAL ASSISTANTS LLC
Authorized official ROBERT GILLUM - (SURGICAL FIRST ASSISTANT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/11/2015
Last updated 11/11/2015 - About 11 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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