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

Prologue Surgical Assisting, LLC

Organization Surgical Physician Assistant · NPI 1407371768

Prologue Surgical Assisting, LLC is a Surgical Physician Assistant in Canton, Georgia. Registered with an NPI since 2017.

In the registry since
2017
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

3493 Lowr Burris RD
Canton, GA 30114
Phone: (770) 331-4217
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1407371768
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terri Rybak — Certified Surgical First Assistant · (770) 331-4217
NPI enumeratedAugust 8, 2017
Last updated in NPPESJuly 21, 2022
Mailing address3493 Lower Burris Rd, Canton, GA 30114-4755

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