Individual
ALISA ANN ERRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPAS
Contact information
Practice address
95 COLLIER ROAD, NW, SUITE 5015, ATLANTA, GA 30309-1721
(404) 605-5699
(404) 355-4235
Mailing address
95 COLLIER ROAD, NW, SUITE 5015, ATLANTA, GA 30309-1721
(404) 605-5699
(404) 355-4235
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
005542
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003106435A
—
GA
Enumeration date
05/01/2009
Last updated
03/14/2011
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