NPI age
19 years
Enumerated 2006-07-13
Across 1333 active physician assistant providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 06424451 | AMERIGROUP |
| 01 (GA) | 1174987 | WELLCARE |
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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