NPI age
19 years
Enumerated 2007-01-26
Across 4616 active physician assistant providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 100001361A | |
| 01 (GA) | 335862 | WELLCARE |
Solo or small practice. No other active providers share this practice address in NPPES.
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