Individual
MITCHELL JORDAN TREASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322
(404) 778-5975
Mailing address
531 ASBURY CIRCLE, SUITE N340, ATLANTA, GA 30322
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8557
GA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/24/2017
Last updated
10/26/2017
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