Individual
ALYSIA MARIE AUGUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3131 MAPLE DR NE, ATLANTA, GA 30305-2515
(404) 816-7900
(404) 816-7929
Mailing address
1549 HIGH HAVEN CT NE, ATLANTA, GA 30329-3203
(404) 698-8575
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11155
GA
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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