Unknown Individual – Physician Assistant, NPI 1073572954
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
86 YONAH VW
DAHLONEGA, GA 305332011
Phone: (706) 867-8086
Fax: (706) 867-8086
Type: Mailing
500, Sun Valley Drive, Roswell, Fulton, Georgia, 30076, United States
SUITE A-2
ROSWELL, GA 300761482
Phone: (770) 687-2317
Fax: (770) 807-0597
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30533)
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