Taxonomy Code 363AS0400X(363as0400x)
Surgical Physician Assistant. Providers: 5

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Surgical Physician Assistant Providers

NPI Name Type Address

1316298953

Bethany Wiley Lill

Individual

720 Transit Ave

Suite 202

Canton, GA

1427297811

MR. PA Darrick Lamont Clark

Individual

111 Holly Mill Village Dr

Canton, GA

1740599182

CST/CSFA Terri Rybak

Individual

3493 Lower Burris Rd

Canton, GA

1760528434

MRS. PA-C Heather J Hall

Individual

470 Northside Cherokee Blvd Ste 490

Canton, GA

1407371768

Prologue Surgical Assisting, Llc

Organization

3493 Lower Burris Rd

Canton, GA

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 363AS0400X
Specialization Surgical
Display Name Surgical Physician Assistant
Taxonomy Group Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification Physician Assistant
Definition Definition to come...
Effective Date September 30, 2009
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Physician Assistant Codes

Medical Physician Assistant

363AM0700X • providers: 36,490

Physician Assistant

363A00000X • providers: 122,072