Registry details
Type
Individual
Primary specialty
Physician Assistant, Medical
Enumerated
Mar 16, 2006
License(s)
003193 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 55 WHITCHER ST NE SUITE 350 | Marietta, GA 30060-1155 | 770-424-6893 |
| MAILING | 55 WHITCHER ST NE SUITE 350 | Marietta, GA 30060-1155 | 770-424-6893 |
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