NPI age
19 years
Enumerated 2007-02-01
Across 4616 active physician assistant providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 174759447A | |
| 05 (GA) | 100001639C | |
| 01 (GA) | 970009967 | RAIL ROAD MEDICARE |
| 01 (GA) | 202I975249 | MEDICARE PTAN |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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