NPI age
19 years
Enumerated 2006-12-09
Across 4616 active physician assistant providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | CSW004234 | LCSW |
| 01 (NC) | C004844 | LCSW |
| 05 (NC) | 6003179 | |
| 01 (NC) | 0010-05760 | PA |
| 01 (GA) | 5697 | PA LICENSE |
Part of a multi-provider practice. 15 other active providers share this practice address in NPPES.
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