Provider Demographics
NPI:1790829711
Name:SURGICAL ASSISTING SERVICES, INC
Entity Type:Organization
Organization Name:SURGICAL ASSISTING SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NERISSA
Authorized Official - Middle Name:P
Authorized Official - Last Name:DELISLE
Authorized Official - Suffix:
Authorized Official - Credentials:CRNFA
Authorized Official - Phone:770-891-1459
Mailing Address - Street 1:1861 DANBURY CT
Mailing Address - Street 2:
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-1291
Mailing Address - Country:US
Mailing Address - Phone:770-851-1459
Mailing Address - Fax:404-806-4266
Practice Address - Street 1:1861 DANBURY CT
Practice Address - Street 2:
Practice Address - City:POWDER SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30127-1291
Practice Address - Country:US
Practice Address - Phone:770-851-1459
Practice Address - Fax:404-806-4266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN063675163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Single Specialty