NPI age
18 years
Enumerated 2008-04-22
Across 640 active physician assistant providers in Georgia.
11 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 602701555B | |
| 05 (GA) | 602701555C | |
| 05 (GA) | 602701555D | |
| 05 (GA) | 602701555E | |
| 01 (GA) | 01457792 | AMERIGROUP |
| 01 (GA) | 610308 | WELLCARE |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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