NPI age
8 years
Enumerated 2017-09-29
Across 4616 active physician assistant providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TN) | Q034221 | |
| 01 (MS) | 935973 | MEDICARE MS |
| 05 (MS) | PENDING | |
| 01 (TN) | T11874A | MEDICARE TN |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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