Individual
KRIS MAGPANTAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
311 GWINNETT DR, LAWRENCEVILLE, GA 30046-5671
(770) 910-9196
Mailing address
311 GWINNETT DR, LAWRENCEVILLE, GA 30046-5671
(770) 910-9196
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
09/28/2018
Last updated
05/10/2024
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