Provider Demographics
NPI:1053064998
Name:A CUT ABOVE SURGICAL ASSISTING, LLC
Entity Type:Organization
Organization Name:A CUT ABOVE SURGICAL ASSISTING, LLC
Other - Org Name:A CUT ABOVE SURGICAL ASSISTING, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAYLEE
Authorized Official - Middle Name:L
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:CSFA
Authorized Official - Phone:404-862-0746
Mailing Address - Street 1:PO BOX 404
Mailing Address - Street 2:
Mailing Address - City:BROOKS
Mailing Address - State:GA
Mailing Address - Zip Code:30205-0404
Mailing Address - Country:US
Mailing Address - Phone:404-862-0746
Mailing Address - Fax:
Practice Address - Street 1:1265 HIGHWAY 54 W
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-4548
Practice Address - Country:US
Practice Address - Phone:404-862-0746
Practice Address - Fax:470-514-5561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-01
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty