NPI age
18 years
Enumerated 2008-02-06
Across 1333 active physician assistant providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 100002158B | |
| 01 (GA) | S86517 | UPIN |
| 01 (GA) | 97WCHJS | MEDICARE |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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