Registry details
Type
Individual
Primary specialty
Physician Assistant, Medical
Enumerated
Jun 16, 2015
License(s)
7592 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1050 EAGLES LANDING PKWY STE 302 | Stockbridge, GA 30281-9250 | 770-507-0070 |
| MAILING | 285 BOULEVARD NE STE 610 | Atlanta, GA 30312-4212 | 404-653-0039 |
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