NPI age
16 years
Enumerated 2009-12-06
Across 4616 active physician assistant providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003205628A | |
| 01 (GA) | 08675 | GA LICENSE |
Part of a multi-provider practice. 81 other active providers share this practice address in NPPES.
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