NPI age
18 years
Enumerated 2007-08-01
Across 4616 active physician assistant providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 97WCJXH | MEDICARE |
| 05 (GA) | 532267996A | |
| 01 (GA) | 1599 | TEMPORARY PERMIT NUMBER |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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