Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Oct 6, 2025
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 550 PEACHTREE ST NE STE 1700 | Atlanta, GA 30308-2262 | 404-881-9727 |
| LOCATION | 550 PEACHTREE ST NE STE 1700 | Atlanta, GA 30308-2262 | 404-881-9727 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.