# GEORGIA PHYSICIANS OF ATLANTA

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

## Provider details

- **NPI number:** 1891241758
- **Authorized official:** LAKESHA COOPER (SECRETARY)
- **Authorized official phone:** (770) 689-9565

## Contact information

- **Practice address:** 35 PATTERSON RD, SUITE 466384, LAWRENCEVILLE, GA 30044-4717
- **Practice address phone:** (770) 689-9565
- **Practice address fax:** (888) 267-9812
- **Mailing address:** 35 PATTERSON RD, SUITE 466384, LAWRENCEVILLE, GA 30044-4717
- **Mailing address phone:** (770) 689-9565
- **Mailing address fax:** (888) 267-9812

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | 056706 | GA | Yes |

## Other

- **Enumeration date:** 08/31/2016
- **Last updated:** 08/31/2016