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Contact Information

SDRASSISTING, LLC
1265 HIGHWAY 54 W STE 103
FAYETTEVILLE, GA30214-4537
 Phone: 404-683-7123
 Fax: 470-514-5561
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Assistant

246ZC0007X
Indicates primary specialty

NPI Profile & details for SDRASSISTING, LLC

NPI Number 1831996339
LBN Legal business name SDRASSISTING, LLC
Authorized official SPENSOR RAYETPARVAR - (CSFA)
Entity Organization
Organization subpart 1 No
Enumeration date 03/03/2025
Last updated 05/18/2026 - About 3 weeks 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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