UI AN

DECATUR, GA
NPI1356812135
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  8962)
Enumeration Date2018-12-05
Last Update Date2021-06-01
Business Address
UI AN
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
Mailing Address
UI AN
PO BOX 134
TYRONE, GA 30290-0134
Phone number:
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