Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
May 11, 2010
License(s)
002390 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 275 COLLIER RD NW STE 100B | Atlanta, GA 30309-1700 | 404-352-3656 |
| MAILING | 275 COLLIER RD NW STE 100B | Atlanta, GA 30309-1700 | 404-352-3656 |
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