Individual
MR. GERALD A ERICKSON JR.
Active
Individual
MR. GERALD A ERICKSON JR.
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
004309
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004309
GA PHYS ASSISTANT LIC #
GA
Enumeration date
07/07/2005
Last updated
08/25/2011
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