Whalio Doctors

NPI 1003558024

Justina Li Vega, PAC

Practitioner Surgical Physician Assistant Gainesville, GA

Practice location

Address
743 Spring St NE, Gainesville, GA 30501-3715
Phone
(770) 533-7288
Fax
(770) 534-9800
Mailing address
748 Old Norcross Rd STE 100, Lawrenceville, GA 30046-3394

Registered specialties (4)

Surgical Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 11301 (GA)
Medical Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 11301 (GA)
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 11301 (GA)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1003558024
Entity type
Individual
Sex (as registered)
Female
NPI issued
11 Apr 2022
Record last updated
6 Jan 2026

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.