Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Aug 8, 2008
License(s)
002834 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1046 RIDGE AVE SW | Atlanta, GA 30315-1640 | 404-688-1350 |
| LOCATION | 1046 RIDGE AVE SW | Atlanta, GA 30315-1640 | 404-688-1350 |
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