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Mr. Samuel Fenderson
Surgical Physician Assistant in Stone Mountain, Georgia
NPI 1326370545

Samuel Fenderson is a Surgical Physician Assistant based in Stone Mountain, GA and is specialized in Surgical. Samuel Fenderson practices in Stone Mountain, GA. The NPI Number for Samuel Fenderson is 1326370545 and holds a License No. (Georgia).

The current practice location address for Samuel Fenderson is 925 Main St # 300-07, Stone Mountain, GA and can be reached out via phone at 678-799-2498.

Location: 925 Main St # 300-07, Stone Mountain, GA, 30083-3098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326370545
Provider Name
Samuel Fenderson
Credential
Provider Entity Type
Individual
Gender
Male
Address
925 Main St # 300-07, Stone Mountain, GA, 30083-3098
Phone Number
678-799-2498
Fax Number
Provider Enumeration Date
02/12/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
925 Main St # 300-07
City
Stone Mountain
State
Georgia
Zip
30083-3098
Phone Number
678-799-2498
Fax Number
person
Provider Business Mailing Address Details
Address
925 Main St # 300-07
City
Stone Mountain
State
Georgia
Zip
30083-3098
Phone Number
678-799-2498
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
Surgical Assistant
Taxonomy
246ZC0007X
License No.
()
Definition
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
()
Definition
Definition to come...
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