NPI age
19 years
Enumerated 2006-10-11
Across 1333 active physician assistant providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | P00298024 | RAILROAD MEDICARE |
| 01 (GA) | 581177261A | MEDICARE GRP PROV # |
| 05 (GA) | 510962418A | |
| 05 (GA) | 510962418K |
Solo or small practice. No other active providers share this practice address in NPPES.
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