Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Aug 12, 2024
License(s)
PA3499 (KY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1300 THREE OAKS DR | Harlem, GA 30814-4016 | 706-421-7451 |
| LOCATION | 3000 BAPTIST HEALTH BLVD | Lexington, KY 40509-8739 | 859-422-9600 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.