Registry details
Type
Individual
Primary specialty
Anesthesiologist Assistant
Enumerated
Jul 17, 2006
License(s)
002093 (GA), 002093 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1968 PEACHTREE ROAD NW | Atlanta, GA 30309-1281 | 404-351-1754 |
| MAILING | PO BOX 551420 | Fort Lauderdale, FL 33355-1420 | 800-243-3839 |
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