Organization · Type 2 NPI

Surgical Outsourcing LLC

Surgical Physician Assistant · Hampton, GA

NPI number 1508579814 Active

Practice location

11565 Creekstone Rd
Hampton, GA 30228-3467

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

Another provider at this address

About NPI 1508579814

Surgical Outsourcing LLC's National Provider Identifier is 1508579814, issued on Jan 2, 2023. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Hampton, GA. The record was last updated on Jan 8, 2026.