Unknown Individual – Medical Physician Assistant, NPI 1093762916
Medical Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
758, Old Norcross Road, Lawrenceville, Gwinnett County, Georgia, 30046, United States
SUITE 100
LAWRENCEVILLE, GA 300453385
Phone: (770) 962-4300
Fax: (770) 339-7544
Mailing address matches the actual address.
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)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30045)
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