NPI age
17 years
Enumerated 2009-02-24
Across 1333 active physician assistant providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 1013157569 | NPI |
| 01 (GA) | 5543 | GA MEDICAL BOARD |
Solo or small practice. No other active providers share this practice address in NPPES.
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