NPI age
8 years
Enumerated 2017-08-29
Across 4616 active physician assistant providers in Georgia.
4 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 | 14133920 | CAQH |
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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