Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
May 8, 2024
License(s)
PA17895 (TX), 12320 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 2174 N DRUID HILLS RD NE FL 1 | Atlanta, GA 30329-3102 | 404-785-8787 |
| MAILING | 2174 N DRUID HILLS RD NE FL 1 | Atlanta, GA 30329-3102 | 404-785-8787 |
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