NPI age
6 years
Enumerated 2020-01-24
Across 4616 active physician assistant providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (VA) | 0110007765 | STATE LICENSE |
| 01 (NV) | PA2228 | STATE LICENSE |
| 05 (NV) | 1275163529 |
Part of a multi-provider practice. 23 other active providers share this practice address in NPPES.
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