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

Jeremy L Likens, CSFA

Individual provider Surgical Assistant · NPI 1114457223

Jeremy L Likens, CSFA is a Surgical Assistant in Buford, Georgia. Practices as a sole proprietor. Registered with an NPI since 2017.

In the registry since
2017
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Practice location Address checks out

958 Island Pointe Way
Buford, GA 30518-8469
Phone: (214) 227-2457
Fax: (214) 764-0880
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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 number1114457223
Entity typeIndividual (Type 1)
GenderMale
Credentials CSFA
Sole proprietorYes
NPI enumeratedJune 13, 2017
Last updated in NPPESNovember 10, 2021
Certification dateNovember 10, 2021

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