Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Prosource Surgical Assisting, LLC

Organization Surgical Physician Assistant · NPI 1518472299

Prosource Surgical Assisting, LLC provides Surgical Physician Assistant services 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

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