Healthcare Provider Details
I. General information
NPI: 1306590708
Provider Name (Legal Business Name): A - ONE ASSISTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/05/2022
Last Update Date: 05/02/2024
Certification Date: 05/02/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1200 NORTHSIDE FORSYTH DR
CUMMING GA
30041-7659
US
IV. Provider business mailing address
2400 OLD MILTON PKWY UNIT 1305
ALPHARETTA GA
30009-1751
US
V. Phone/Fax
- Phone: 770-844-3200
- Fax:
- Phone: 337-422-8647
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 246ZC0007X |
| Taxonomy | Surgical Assistant |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363AS0400X |
| Taxonomy | Surgical Physician Assistant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
GEOCOBI
C
NNADI
Title or Position: CEO/CSFA
Credential: CSFA
Phone: 337-422-8647