NPI age
19 years
Enumerated 2006-09-05
Across 4616 active physician assistant providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 1000000240A | |
| 01 (GA) | 7011046 | AETNA |
| 01 (GA) | 970001400 | RR MCARE - BCPHC |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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