Organization
GEORGIA PHYSICIANS OF ATLANTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKESHA COOPER (SECRETARY)
(770) 689-9565
Entity
Organization
Contact information
Practice address
35 PATTERSON RD, SUITE 466384, LAWRENCEVILLE, GA 30044-4717
(770) 689-9565
(888) 267-9812
Mailing address
35 PATTERSON RD, SUITE 466384, LAWRENCEVILLE, GA 30044-4717
(770) 689-9565
(888) 267-9812
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
056706
GA
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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