Provider Demographics
NPI:1891257028
Name:SYMMETRY SURGICAL BILLING LLC
Entity type:Organization
Organization Name:SYMMETRY SURGICAL BILLING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRENNIS
Authorized Official - Middle Name:LASHETT
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-658-0063
Mailing Address - Street 1:5135 MIRROR LAKE DR
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30028-7216
Mailing Address - Country:US
Mailing Address - Phone:912-658-0063
Mailing Address - Fax:470-253-7913
Practice Address - Street 1:5135 MIRROR LAKE DR
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30028-7216
Practice Address - Country:US
Practice Address - Phone:912-658-0063
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-05
Last Update Date:2019-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty