Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Apr 26, 2019
License(s)
1160717 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 355 TOWER RD NE STE 300 | Marietta, GA 30060-9408 | 770-427-2457 |
| MAILING | 355 TOWER RD NE STE 300 | Marietta, GA 30060-9408 | 770-427-2457 |
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