Individual
ERIK LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
2501 N PATTERSON ST, VALDOSTA, GA 31602-1735
(229) 333-1000
Mailing address
PO BOX 402059, ATLANTA, GA 30384-2059
(229) 333-1000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1444
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292546000
—
FL
05
—
556722521A
—
GA
01
—
P000348013
RAILROAD MEDICARE
—
Enumeration date
10/04/2006
Last updated
12/22/2008
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