Individual
PAULA MARIE HUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
330 TURNER MCCALL BLVD SW, ROME, GA 30165-5630
(706) 238-8030
(706) 238-8031
Mailing address
1825 MARTHA BERRY BLVD NW, ROME, GA 30165-1625
(706) 295-5331
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004706
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011118912A
—
GA
05
—
011118912B
—
GA
05
—
011118912C
—
GA
Enumeration date
09/03/2009
Last updated
05/20/2010
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