# JASON MICHAEL GEDDINGS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1497080659
- **Gender:** Man
- **Credential:** AA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367H00000X | Anesthesiologist Assistant | 005671 | GA | Yes |

## Other

- **Enumeration date:** 10/06/2009
- **Last updated:** 10/06/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 005671 | GEORGIA LICENSE | GA |