NPI age
19 years
Enumerated 2006-10-20
Across 4616 active physician assistant providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 100001096A | |
| 01 (GA) | 333478 | WELLCARE |
| 05 (GA) | 100001096 | |
| 01 (GA) | 01067986 | AMERIGROUP |
| 05 (GA) | 100001096B |
Part of a multi-provider practice. 122 other active providers share this practice address in NPPES.
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