NPI age
19 years
Enumerated 2006-08-31
Across 640 active physician assistant providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003119970D | |
| 05 (GA) | 003119970B | |
| 05 (GA) | 003119970C |
Part of a multi-provider practice. 40 other active providers share this practice address in NPPES.
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