Provider Demographics
NPI:1255907259
Name:AT YOUR ASSISTANCE, LLC
Entity type:Organization
Organization Name:AT YOUR ASSISTANCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:CUBIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-514-5538
Mailing Address - Street 1:3520 MUIRFIELD DR
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:GA
Mailing Address - Zip Code:30004-4492
Mailing Address - Country:US
Mailing Address - Phone:470-514-5538
Mailing Address - Fax:470-514-5561
Practice Address - Street 1:1265 HIGHWAY 54 W STE 103
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-4537
Practice Address - Country:US
Practice Address - Phone:678-216-0771
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-01
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty