Individual
ERICA COURSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
720 WESTVIEW DR SW, ATLANTA, GA 30310-1458
(150) 075-2404
Mailing address
250 ROBERTS TRL, LOCUST GROVE, GA 30248-3866
(478) 302-7056
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/01/2020
Last updated
05/01/2020
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