NPI age
19 years
Enumerated 2007-05-07
Across 4616 active physician assistant providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 003463 | GEORGIA LICENSE |
| 05 (GA) | 003113320 |
Solo or small practice. No other active providers share this practice address in NPPES.
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