Individual
ERICA ADDISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AA-C
Contact information
Practice address
450 NORTHSIDE CHEROKEE BLVD, CANTON, GA 30115-8015
(256) 710-5535
Mailing address
76 FARMHOUSE RD, BALL GROUND, GA 30107-5646
(256) 710-5535
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
006228
GA
Other
Enumeration date
11/27/2010
Last updated
08/24/2022
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