NPI age
14 years
Enumerated 2011-09-23
Across 4616 active physician assistant providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 006295 | GEORGIA LICENSE |
| 05 (GA) | 003116432 | |
| 05 (GA) | 003116443 |
Part of a multi-provider practice. 27 other active providers share this practice address in NPPES.
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