NPI age
19 years
Enumerated 2006-08-31
Across 4616 active physician assistant providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 970030145 | RR MCARE |
| 05 (GA) | 104591848A | |
| 01 (GA) | 7648423 | AETNA |
Part of a multi-provider practice. 28 other active providers share this practice address in NPPES.
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