NPI age
19 years
Enumerated 2006-06-15
Across 4616 active physician assistant providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 299512679C | |
| 01 (GA) | P001145189 | RAILROAD |
| 01 (GA) | 083704148 | TRICARE |
Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.
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