NPI | 1487934550 |
---|---|
Doing Business As | JSA OF VIRGINIA |
Entity Type | Organization |
Authorized Contact | ANN H SCHAKER Director Of Billing 678-983-4479 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208600000X Surgery |
Additional Taxonomies | 174400000X Specialist |
246ZC0007X Specialist/Technologist, Other, Surgical Assistant | |
363AS0400X Physician Assistant, Surgical | |
Enumeration Date | 2011-08-22 |
Last Update Date | 2016-03-31 |