Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Oct 3, 2006
License(s)
004583 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 550 PEACHTREE ST NE | Atlanta, GA 30308-2212 | 404-995-1573 |
| MAILING | 550 PEACHTREE ST NE | Atlanta, GA 30308-2212 | 404-995-1573 |
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