NPI age
20 years
Enumerated 2006-01-13
Across 1333 active physician assistant providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 100000112B | |
| 01 (GA) | 100000112A | PEACH STATE |
| 01 (GA) | 368501 | WELLCARE |
| 01 (GA) | 970017094 | RAILROAD MEDICARE |
| 05 (GA) | 100000112A |
Part of a multi-provider practice. 30 other active providers share this practice address in NPPES.
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