Provider Demographics
NPI:1548760101
Name:A TO Z SURGICAL 1ST ASSISTING
Entity type:Organization
Organization Name:A TO Z SURGICAL 1ST ASSISTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZAKIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOSTON
Authorized Official - Suffix:
Authorized Official - Credentials:CSFA
Authorized Official - Phone:678-631-7857
Mailing Address - Street 1:820 BETHSAIDA RD STE 101
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30274-2971
Mailing Address - Country:US
Mailing Address - Phone:678-631-7857
Mailing Address - Fax:
Practice Address - Street 1:820 BETHSAIDA RD
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30274-2971
Practice Address - Country:US
Practice Address - Phone:678-631-7857
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-20
Last Update Date:2018-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Single Specialty