NPI age
20 years
Enumerated 2006-05-10
Across 4616 active physician assistant providers in Georgia.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 504338361D | |
| 05 (GA) | 504338361B | |
| 05 (GA) | 504338361C |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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