NPI age
19 years
Enumerated 2006-08-30
Across 1333 active physician assistant providers in Georgia.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 320287 | WELLCARE |
| 05 (GA) | 100000951A | |
| 01 (GA) | 1153760002 | PEACHSTATE |
| 01 (GA) | 970009101 | RAILROAD MEDICARE |
| 01 (GA) | 10033125 | AMERIGROUP |
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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