NPI age
20 years
Enumerated 2005-06-20
Across 4616 active physician assistant providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 909178080G | |
| 05 (GA) | 909178080H | |
| 05 (GA) | 909178080J | |
| 05 (GA) | 909178080I | |
| 01 (GA) | 202I971517 | MEDICARE PTAN |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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