NPI age
19 years
Enumerated 2006-10-11
Across 640 active physician assistant providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (TN) | 3665971 | |
| 01 (TN) | 4035524 | BCBSTN |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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