Registry details
Type
Individual
Primary specialty
Physician Assistant, Medical
Enumerated
Oct 2, 2006
License(s)
004859 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 980 JOHNSON FERRY ROAD STE 220 | Atlanta, GA 30342 | 404-255-5956 |
| LOCATION | 980 JOHNSON FERRY ROAD STE 220 | Atlanta, GA 30342 | 404-255-5956 |
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