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Organization
GAMEDICAL ASSOCIATES,INC
Active
Organization
GAMEDICAL ASSOCIATES,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOFIA KHAN (CMA, OFFICE MANAGER)
(678) 380-8353
Entity
Organization
Contact information
Practice address
3945 LAWRENCEVILLE HWY NW # 29, LILBURN, GA 30047-2817
(678) 380-8353
(678) 380-8388
Mailing address
3945 LAWRENCEVILLE HWY NW # 29, LILBURN, GA 30047-2817
(678) 380-8353
(678) 380-8388
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1077186
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1077186
PHYSICIAN ASSISTANTS
GA
Enumeration date
02/19/2009
Last updated
02/19/2009
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