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Individual

ERICA LYNN SESSLER PANCOAST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
300 TOWER ROAD, SUITE 200, MARIETTA, GA 30060-9403
(770) 427-5717
(770) 514-5040
Mailing address
300 TOWER ROAD, SUITE 200, MARIETTA, GA 30060-9403
(770) 427-5717
(770) 514-5040

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
006080
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20297I9551
MEDICARE PTAN
GA
Enumeration date
04/04/2011
Last updated
01/31/2014
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