# GAMEDICAL ASSOCIATES,INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063651719
- **Authorized official:** SOFIA KHAN (CMA, OFFICE MANAGER)
- **Authorized official phone:** (678) 380-8353

## Contact information

- **Practice address:** 3945 LAWRENCEVILLE HWY NW \# 29, LILBURN, GA 30047-2817
- **Practice address phone:** (678) 380-8353
- **Practice address fax:** (678) 380-8388
- **Mailing address:** 3945 LAWRENCEVILLE HWY NW \# 29, LILBURN, GA 30047-2817
- **Mailing address phone:** (678) 380-8353
- **Mailing address fax:** (678) 380-8388

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 1077186 | GA | Yes |

## Other

- **Enumeration date:** 02/19/2009
- **Last updated:** 02/19/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1077186 | PHYSICIAN ASSISTANTS | GA |