NPI age
19 years
Enumerated 2006-10-02
Across 640 active physician assistant providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 902115928B | |
| 05 (GA) | 902115928A | |
| 05 (GA) | 902115928D | |
| 05 (GA) | 902115928C |
Part of a multi-provider practice. 15 other active providers share this practice address in NPPES.
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