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1245866276
ALYSSA BROADWATER
ATLANTA, GA
NPI
1245866276
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Enumeration Date
2020-03-21
Last Update Date
2020-07-20
Business Address
Miss ALYSSA BROADWATER PA-C
5665 PEACHTREE DUNWOODY RD
ATLANTA, GA 30342-1764
Phone number: 404-778-7200
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Mailing Address
Miss ALYSSA BROADWATER PA-C
731 PAINT HORSE DR
CANTON, GA 30115-6817
Phone number: 386-405-8814
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