NPI age
20 years
Enumerated 2006-03-23
Across 4616 active physician assistant providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 638560621A | |
| 05 (GA) | 638560621C | |
| 01 (UT) | 9603746-1206 | STATE LICENSE |
| 01 (GA) | 10059174 | AMERIGROUP |
| 05 (GA) | 638560621D | |
| 05 (GA) | 638560621E |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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