Organization
PHYSICIAN'S GROUP OF GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE ANDERSON (DIRECTOR OF OPERATIONS)
(404) 382-9608
Entity
Organization
Contact information
Practice address
5755 N POINT PKWY, SUITE 53, ALPHARETTA, GA 30022-1142
(404) 382-9608
Mailing address
5755 N POINT PKWY, SUITE 53, ALPHARETTA, GA 30022-1142
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6242
GA
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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