Registry details
Type
Individual
Primary specialty
Physician Assistant, Surgical
Enumerated
Sep 18, 2018
License(s)
8985 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 5730 GLENRIDGE DR STE 200 | Atlanta, GA 30328-5579 | 404-252-5206 |
| MAILING | 1561 JANMAR RD | Snellville, GA 30078-5639 | 678-344-8900 |
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