Provider Demographics
NPI:1215198965
Name:ADVANCED FIRST ASSISTANTS, LLC
Entity Type:Organization
Organization Name:ADVANCED FIRST ASSISTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BEASLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-376-1598
Mailing Address - Street 1:2962 ROCKINGHAM DR NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327-1231
Mailing Address - Country:US
Mailing Address - Phone:404-376-1598
Mailing Address - Fax:404-350-0937
Practice Address - Street 1:2962 ROCKINGHAM DR NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30327-1231
Practice Address - Country:US
Practice Address - Phone:404-376-1598
Practice Address - Fax:404-350-0937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-24
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN051274367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty