NPI age
14 years
Enumerated 2011-09-16
Across 1333 active physician assistant providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (SC) | 1742PA | |
| 05 (NC) | 1457633307 |
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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