NPI age
12 years
Enumerated 2013-06-10
Across 4616 active physician assistant providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (FL) | 013953700 | |
| 05 (GA) | 003138098C |
Part of a multi-provider practice. 46 other active providers share this practice address in NPPES.
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