NPI age
20 years
Enumerated 2006-05-11
Across 1333 active physician assistant providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (VA) | 1588614283 | |
| 05 (TN) | 3669173 | |
| 05 (NC) | 1588614283 | |
| 01 (TN) | P01706815 | RAILROAD MEDICARE |
Solo or small practice. No other active providers share this practice address in NPPES.
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