NPI age
20 years
Enumerated 2006-04-21
Across 640 active physician assistant providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 242720 | BCBS EDI |
| 01 (GA) | 970002275 | RR MEDICARE |
| 05 (GA) | 003108479B | |
| 05 (GA) | 191466194A |
Part of a multi-provider practice. 95 other active providers share this practice address in NPPES.
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