GIDEON ALLAN LADD

ATLANTA, GA
NPI1225061906
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  9653)
Additional Taxonomies363A00000X Physician Assistant
(Licence: WI  1988)
363A00000X Physician Assistant
(Licence: CO  PA.0004932)
Enumeration Date2006-07-08
Last Update Date2020-05-04
Business Address
GIDEON ALLAN LADD PA-C
550 PEACHTREE ST NE
ATLANTA, GA 30308-2212
Phone number: 404-686-4411
Mailing Address
GIDEON ALLAN LADD PA-C
550 PEACHTREE ST NE
ATLANTA, GA 30308-2212
Phone number: 404-686-4411