Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Jan 22, 2024
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 10 CLOVERLEAF DR | Cartersville, GA 30120-2178 | 770-606-8026 |
| MAILING | 2285 ASQUITH AVE SW | Marietta, GA 30008-6092 | 770-485-1554 |
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