NPI age
19 years
Enumerated 2006-09-22
Across 4616 active physician assistant providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 256378633B | |
| 01 (GA) | P00360970 | RAILROAD MEDICARE |
| 05 (GA) | 256378633A |
Part of a multi-provider practice. 153 other active providers share this practice address in NPPES.
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