Provider Demographics
NPI:1679942262
Name:AAA SURGICAL SERVICES LLC
Entity type:Organization
Organization Name:AAA SURGICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED SURGICAL ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANEETA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:CSA
Authorized Official - Phone:770-882-5276
Mailing Address - Street 1:4488 PINE HILL TER NE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-2419
Mailing Address - Country:US
Mailing Address - Phone:770-882-5276
Mailing Address - Fax:
Practice Address - Street 1:4488 PINE HILL TER NE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30066-2419
Practice Address - Country:US
Practice Address - Phone:770-882-5276
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-24
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty