NPI age
12 years
Enumerated 2013-07-08
Across 1333 active physician assistant providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003177670B | |
| 05 (GA) | 003177670C | |
| 05 (GA) | 003177670A |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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