NPI age
6 years
Enumerated 2020-04-26
Across 4616 active physician assistant providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 12183 | GEORGIA PA LICENSE |
| 01 (FL) | PA9113330 | FLORIDA PA LICENSE |
| 01 (SC) | 5237 | SOUTH CAROLINA PA LICENSE |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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