Provider Demographics
NPI:1457935694
Name:AURORA SURGICAL SPECIALISTS
Entity Type:Organization
Organization Name:AURORA SURGICAL SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:363AS0400X
Authorized Official - Prefix:MRS
Authorized Official - First Name:AUDREY
Authorized Official - Middle Name:O
Authorized Official - Last Name:ALEXANDER-RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-375-5393
Mailing Address - Street 1:2133 LAWRENCEVILLE SUWANEE RD STE 12-385
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-2648
Mailing Address - Country:US
Mailing Address - Phone:404-375-5393
Mailing Address - Fax:
Practice Address - Street 1:2133 LAWRENCEVILLE SUWANEE RD STE 12-385
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-2648
Practice Address - Country:US
Practice Address - Phone:404-375-5393
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-12
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Single Specialty