NPI age
19 years
Enumerated 2006-12-01
Across 640 active physician assistant providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (FL) | 290908100 | |
| 01 (GA) | 9819 | STATE LICENSE |
Part of a multi-provider practice. 851 other active providers share this practice address in NPPES.
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