Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Jun 10, 2025
License(s)
13240 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2220 N DRUID HILLS RD NE | Atlanta, GA 30329-3117 | 717-371-2607 |
| LOCATION | 2220 N DRUID HILLS RD NE | Atlanta, GA 30329-3117 | 717-371-2607 |
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