Taxonomy Code 363AM0700X(363am0700x)
Medical Physician Assistant. Providers: 2

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Medical Physician Assistant Providers

NPI Name Type Address

1619153210

PA-C Jerry Dewayne Wilson

Individual

4500 Hugh Howell Rd

Suite

Tucker, GA

1497146351

PA Jiyoun Leah Park

Individual

1468 Montreal Rd

Tucker, GA

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 363AM0700X
Specialization Medical
Display Name Medical Physician Assistant
Taxonomy Group Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification Physician Assistant
Definition Definition to come...
Effective Date September 30, 2009
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Physician Assistant Codes

Physician Assistant

363A00000X • providers: 122,072

Surgical Physician Assistant

363AS0400X • providers: 16,971