Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Oct 19, 2006
License(s)
003434 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 34 JOHNSON FERRY PKWY NE | Atlanta, GA 30319-4311 | 404-851-1323 |
| LOCATION | 550 PEACHTREE STREET 6TH FLOOR MOT | Atlanta, GA 30308-2225 | 404-686-2513 |
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