NPI age
3 years
Enumerated 2022-06-09
Across 1333 active physician assistant providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 10861 | PHYSICIAN ASSISTANT LICENSE GEORGIA COMPOSITE MEDICAL BOARD |
| 01 | 1192287 | NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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