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General NPI Number Information
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NPI Number | 1083330120
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Entity Type | Organization
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Legal Business Name | METRO ATLANTA FIRST ASSIST, LLC
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Dates
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Enumeration Date | 10/19/2022
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 440 GRAND OAK LN
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City | DAHLONEGA
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State | GA
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Zip | 30533-6793
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Country | US
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Telephone | 770-241-1357
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Fax |
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Provider Business Mailing Address
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Address Line | 1221 FOXCROFT LN
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City | CUMMING
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State | GA
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Zip | 30041-8659
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Country | US
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Telephone | 770-241-1357
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN ASSISTANT / FIRST ASSIST
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Name | MICHAEL LEWIS
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Credential | PA-C
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Telephone | 770-241-1357
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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