Individual
GEORGIANA MASSAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
61 WHITCHER ST NE, SUITE 2100, MARIETTA, GA 30060-1176
(770) 423-0595
(678) 391-5055
Mailing address
61 WHITCHER ST NE, SUITE 2100, MARIETTA, GA 30060-1176
(770) 423-0595
(678) 391-5055
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7989
GA
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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