Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eastside Surgical Assistants LLC

Organization Surgical Assistant · NPI 1962872218

Eastside Surgical Assistants LLC is a Surgical Assistant in Stone Mountain, Georgia. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

925 Main St Ste 300-07
Stone Mountain, GA 30083-3098
Phone: (678) 799-2498
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X

Record details

NPI number1962872218
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Fenderson — Certified Surgical Assistant · (678) 799-2498
NPI enumeratedSeptember 30, 2015
Last updated in NPPESSeptember 30, 2015
Mailing address925 Main St, Suite 300-07, Stone Mountain, GA 30083-3098

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