NPI age
10 years
Enumerated 2015-12-09
Across 1333 active physician assistant providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (FL) | PA 9109135 | FLORIDA MEDICAL LICENSE |
| 01 (GA) | 008061 | MEDICAL LICENSE |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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