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Individual

NOEL GUSMAN FERRER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1825 OLD ALABAMA RD STE 201, ROSWELL, GA 30076-2258
(770) 393-9000
(770) 393-9006
Mailing address
151 SOUTHHALL LN, STE 300, MAITLAND, FL 32751-7172
(407) 875-2080
(407) 650-3455

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7804
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1102950
NCCPA
FL
Enumeration date
05/18/2012
Last updated
08/21/2017
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