Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Dec 7, 2005
License(s)
4056 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 980 JOHNSON FERRY RD NE SUITE 820 | Atlanta, GA 30342-1626 | 404-252-9307 |
| MAILING | 1355 PEACHTREE ST NE STE 1600 | Atlanta, GA 30309-3276 | 678-223-7774 |
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