Individual
NATALIE WYNN DEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4321 UNIVERSITY PKWY STE 104, EVANS, GA 30809-3093
(706) 854-2600
Mailing address
4321 UNIVERSITY PKWY STE 104, EVANS, GA 30809-3093
(706) 854-2600
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
9502
GA
363A00000X
Physician Assistant
Primary
9503
GA
Other
Enumeration date
10/15/2019
Last updated
06/08/2022
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