Individual
JOHN A DENNIS
Active
Individual
JOHN A DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003748
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
548030581A
—
GA
05
—
548030581B
—
GA
05
—
548030581C
—
GA
05
—
548030581E
—
GA
05
—
548030581H
—
GA
05
—
548030581I
—
GA
05
—
548030581J
—
GA
05
—
548030581M
—
GA
05
—
548030581R
—
GA
05
—
548030581T
—
GA
05
—
548030581U
—
GA
05
—
548030581V
—
GA
05
—
548030581W
—
GA
05
—
548030581X
—
GA
05
—
548030581Y
—
GA
Enumeration date
07/14/2005
Last updated
07/06/2011
Update your record
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