Basic Information
| Provider Information | |||||||||
| NPI: | 1255907259 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | AT YOUR ASSISTANCE, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3520 MUIRFIELD DR | ||||||||
| Address2: | |||||||||
| City: | MILTON | ||||||||
| State: | GA | ||||||||
| PostalCode: | 300044492 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4705145538 | ||||||||
| FaxNumber: | 4705145561 | ||||||||
| Practice Location | |||||||||
| Address1: | 1265 HIGHWAY 54 W STE 103 | ||||||||
| Address2: | |||||||||
| City: | FAYETTEVILLE | ||||||||
| State: | GA | ||||||||
| PostalCode: | 302144537 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6782160771 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/01/2021 | ||||||||
| LastUpdateDate: | 01/26/2022 | ||||||||
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| AuthorizedOfficialLastName: | CUBIN | ||||||||
| AuthorizedOfficialFirstName: | ANGELA | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 4705145538 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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| NPICertificationDate: | 01/26/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363AS0400X | Y | 193200000X MULTI-SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Surgical |
No ID Information.