NPI 1891241758

Georgia Physicians of Atlanta

Organisation Surgical Physician Assistant Lawrenceville, GA

Practice location

Address: 35 Patterson Rd Suite 466384, Lawrenceville, GA 30044-4717
Phone: (770) 689-9565
Fax: (888) 267-9812

Authorised official

Name: Lakesha Cooper
Title: Secretary
Phone: (770) 689-9565

Registered specialties

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 056706 (GA)

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Registry record

NPI: 1891241758
Entity type: Organization
NPI issued: 31 Aug 2016
Record last updated: 31 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.