NPI age
13 years
Enumerated 2012-10-05
Across 640 active physician assistant providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | P01155968 | RR MEDICARE |
| 05 (GA) | 003130433A |
Part of a multi-provider practice. 45 other active providers share this practice address in NPPES.
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