Southeast Surgical Assisting, LLC
Organization Active NPI Surgical Physician Assistant · Oxford, GA
NPI 1366898546 · NPPES record last updated Jun 20, 2025
Key facts
- NPI
- 1366898546
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- 165552 (GA)
- Legal business name
- SOUTHEAST SURGICAL ASSISTING, LLC
- Practice address
- 907 Emory St Unit 55
Oxford, GA 30054-1605 - Phone
- (770) 596-1463
- Fax
- (770) 786-3102
- NPI assigned
- May 6, 2016
- Organization subpart
- No
Authorized official
- Name
- Mrs. Kristin L Garner Joseph, CSFA
- Title
- Owner
- Phone
- (770) 596-1463
Practitioners 1
-
Kristin L Garner Joseph, CSFA
National Provider Directory
Locations
907 Emory St
Unit 55
Oxford, GA 30054
Phone (770) 596-1463
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant |
363AS0400X | 165552 | GA | Yes |
Addresses
Primary practice location
907 Emory St Unit 55
Oxford, GA 30054-1605
Mailing address
907 Emory St Unit 55
Oxford, GA 30054-1605
Phone (770) 596-1463
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.