Individual
ALEX PHILLIP SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C, MMSC
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
7967
GA
363AS0400X
Surgical Physician Assistant
Primary
7967
GA
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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