NPI age
12 years
Enumerated 2013-06-21
Across 640 active physician assistant providers in Georgia.
8 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003136301S | |
| 05 (GA) | 003136301P | |
| 05 (GA) | 003136301Q | |
| 05 (GA) | 003136301R | |
| 05 (GA) | 003136301T | |
| 05 (GA) | 003136301U | |
| 05 (GA) | 003136301V |
Part of a multi-provider practice. 33 other active providers share this practice address in NPPES.
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