NPI age
20 years
Enumerated 2005-09-02
Across 4616 active physician assistant providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 479070329B | |
| 01 (GA) | DC4061 | RAILROAD MEDICARE |
Part of a multi-provider practice. 26 other active providers share this practice address in NPPES.
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