MICHAEL BRIAN WITHERSPOON

FAYETTEVILLE, GA
NPI1710326459
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  6837)
Enumeration Date2013-06-16
Last Update Date2015-09-24
Business Address
MR. MICHAEL BRIAN WITHERSPOON PA
1255 HWY 54 W
FAYETTEVILLE, GA 30214
Phone number: 770-793-5000
Mailing Address
MR. MICHAEL BRIAN WITHERSPOON PA
18167 US HWY. 19 N #650
CLEARWATER, FL 33764
Phone number:
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