NPI age
15 years
Enumerated 2010-09-15
Across 640 active physician assistant providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 005910 | GA LICENSE |
Part of a multi-provider practice. 87 other active providers share this practice address in NPPES.
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