Georgia Oncologists Assistance

Organization Active NPI Surgical Physician Assistant · Sugar Hill, GA

NPI 1073983136 · NPPES record last updated Oct 4, 2015

Key facts

NPI
1073983136
Entity type
Organization (NPI type 2)
Primary specialty
Surgical Physician Assistant 363AS0400X
License
1421 (GA)
Legal business name
GEORGIA ONCOLOGISTS ASSISTANCE
Practice address
5885 Cumming Hwy
Suite 108 Box 256
Sugar Hill, GA 30518-5765
Phone
(678) 820-9001
NPI assigned
Oct 1, 2015
Organization subpart
No

Authorized official

Name
Scot Forte
Title
PA
Phone
(512) 699-7347

National Provider Directory

Locations

5885 Cumming Hwy
Ste 108
Sugar Hill, GA 30518
Phone (678) 820-9001

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant
Group: 193200000X MULTI-SPECIALTY GROUP
363AS0400X 1421 GA Yes

Addresses

Primary practice location

5885 Cumming Hwy
Suite 108 Box 256
Sugar Hill, GA 30518-5765

Mailing address

5885 Cumming Hwy
Suite 108 Box 256
Sugar Hill, GA 30518-5765
Phone (678) 820-9001

Other providers in Sugar Hill, GA

All providers in Sugar Hill, GA · Surgical Physician Assistant in Georgia

Sources for this page

Verify at the official NPI Registry.