NPI age
14 years
Enumerated 2011-06-16
Across 4616 active physician assistant providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 624817 | WELLCARE |
| 05 (GA) | 003111026A | |
| 05 (SC) | 1212PA | |
| 01 (GA) | P00955091 | RAILROAD MEDICARE |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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