NPI age
19 years
Enumerated 2006-08-30
Across 4616 active physician assistant providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | P00159412 | MEDICARE RAILROAD |
| 01 | 775100 | BCBS |
| 05 (GA) | 100002426A | |
| 01 (GA) | 202I978663 | MEDICARE |
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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