NPI age
14 years
Enumerated 2011-09-15
Across 640 active physician assistant providers in Georgia.
6 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003116076D | |
| 05 (GA) | 003116076E | |
| 05 (GA) | 003116076F | |
| 01 (GA) | 680875 | WELLCARE |
| 01 (GA) | 01635237 | AMERIGROUP |
Part of a multi-provider practice. 151 other active providers share this practice address in NPPES.
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