Unknown Individual – Physician Assistant, NPI 1629184221
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
3025 BRECKINRIDGE BLVD
SUITE 120
DULUTH, GA 300967611
Phone: (678) 226-0080
Type: Mailing
4730 HAMMOND INDUSTRIAL DR
#400
CUMMING, GA 300413917
Phone: (770) 205-2220
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 30096)
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