NPI age
19 years
Enumerated 2006-12-01
Across 4616 active physician assistant providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (CA) | 4411-8578 | CERTIFIED PHLEBOTOMY TECHNICIAN 1 LICENSE CERTIFICATION BY THE NHA |
| 01 (GA) | 7169 | GA PA LICENSE |
| 01 (CA) | PA18073 | PA LICENSE 18073 |
| 01 (CA) | A453639 | LICENSE |
Part of a multi-provider practice. 1593 other active providers share this practice address in NPPES.
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