Individual
DAVE GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1960 RIVERSIDE PARKWAY STE#106, LAWRENCEVILLE, GA 30043
(678) 407-2222
(678) 407-2266
Mailing address
1960 RIVERSIDE PARKWAY STE#106, LAWRENCEVILLE, GA 30043
(678) 407-2222
(678) 407-2266
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002087
GA
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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