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Individual

MR. JOSHUA AARON SLATKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C, ATC

Contact information

Practice address
400 TIMMS RD NE, CALHOUN, GA 30701-7016
(706) 602-3100
(706) 602-3101
Mailing address
PO BOX 12938, C/O CLINIC MANAGEMENT, CALHOUN, GA 30703

Taxonomy

Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
363A00000X
Physician Assistant
Primary
005845
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
199608182M
GA
Enumeration date
02/08/2006
Last updated
12/28/2018
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