NPI age
11 years
Enumerated 2014-11-10
Across 4616 active physician assistant providers in Georgia.
7 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003153646H | |
| 05 (GA) | 003153646K | |
| 01 (GA) | 06705493 | AMERIGROUP |
| 01 (GA) | 1819077 | WELLCARE |
| 05 (GA) | 003153646I | |
| 05 (GA) | 003153646G | |
| 05 (GA) | 003153646J | |
| 05 (GA) | 003153646L |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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