Individual
ALYSSA WALTERS HAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
150 N PARK TRL STE B, STOCKBRIDGE, GA 30281-7372
(770) 507-0909
(770) 507-1919
Mailing address
150 N PARK TRL STE B, STOCKBRIDGE, GA 30281-7372
(770) 507-0909
(770) 507-1919
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0000
GA
363A00000X
Physician Assistant
Primary
12418
GA
Other
Enumeration date
05/30/2024
Last updated
04/21/2026
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