NPI age
17 years
Enumerated 2009-05-20
Across 1333 active physician assistant providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (SC) | 0859PA | |
| 05 (GA) | 350511798C | |
| 01 (GA) | P00778518 | RR MEDICARE |
| 01 (FL) | PA9110541 | LICENSE |
| 05 (GA) | 350511798D |
Part of a multi-provider practice. 15 other active providers share this practice address in NPPES.
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