NPI age
10 years
Enumerated 2015-11-18
Across 640 active physician assistant providers in Georgia.
6 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003171870Q | |
| 05 (GA) | 003171870S | |
| 05 (GA) | 003171870V | |
| 05 (GA) | 003171870R | |
| 05 (GA) | 003171870U | |
| 05 (GA) | 003171870T | |
| 05 (GA) | 003171870P | |
| 01 (GA) | 05384574 | AMERIGROUP |
| 01 (GA) | 1532523 | WELLCARE |
Part of a multi-provider practice. 151 other active providers share this practice address in NPPES.
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