Healthcare Provider Details

I. General information

NPI: 1386548097
Provider Name (Legal Business Name): SOLO ASSIST SOLUTIONS, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

677 CHURCH ST NE
MARIETTA GA
30060-1101
US

IV. Provider business mailing address

5200 DALLAS HWY STE 200-121
POWDER SPRINGS GA
30127-6318
US

V. Phone/Fax

Practice location:
  • Phone: 770-687-4587
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MAKAYLA COUSIN
Title or Position: DIRECTOR
Credential:
Phone: 770-687-4587