NPI age
19 years
Enumerated 2006-05-31
Across 1333 active physician assistant providers in Georgia.
4 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 753407610D | |
| 01 (GA) | 336028 | WELLCARE |
| 01 (GA) | 336474 | WELLCARE |
| 05 (GA) | 753407610A | |
| 01 (GA) | 336475 | WELLCARE |
| 01 (GA) | 10044741 | AMERIGROUP |
| 01 (GA) | 336473 | WELLCARE |
| 05 (GA) | 753407610C | |
| 05 (GA) | 753407610B |
Part of a multi-provider practice. 151 other active providers share this practice address in NPPES.
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