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

Prosource Surgical Assisting, LLC

Organization Surgical Physician Assistant · NPI 1518472299

Prosource Surgical Assisting, LLC is a Surgical Physician Assistant in Roswell, 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

8920 Eves Rd Unit 768873
Roswell, GA 30076-0110
Phone: (912) 604-0905
Fax: (678) 404-7785
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1518472299
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marcella Townsend — Certified Surgical Assistant · (912) 604-0905
NPI enumeratedDecember 4, 2017
Last updated in NPPESMay 27, 2026
Certification dateMay 27, 2026
Mailing addressPo Box 768873, Roswell, GA 30076-8211

Other providers in Roswell