person
Mr. Anthony E. Medina
Medical Physician Assistant in Suwanee, Georgia
NPI 1174779177

Anthony E. Medina is a Medical Physician Assistant based in Suwanee, GA and is specialized in Medical. Anthony E. Medina practices in Suwanee, GA. The NPI Number for Anthony E. Medina is 1174779177 and holds a License No. RC60035704 (Georgia).

The current practice location address for Anthony E. Medina is 2696 Lawrenceville Suwanee Rd, Suwanee, GA and can be reached out via phone at 678-376-1300 and via fax at 678-514-2936. You can also correspond with Anthony E. Medina through the mailing address at 2696 LAWRENCEVILLE SUWANEE RD, SUWANEE, GA - 30024-2535 (mailing address contact number: 678-376-1300).

Location: 2696 Lawrenceville Suwanee Rd, Suwanee, GA, 30024-2535
person
Provider Profile Details
NPI Number
1174779177
Provider Name
Anthony E. Medina
Credential
Provider Entity Type
Individual
Gender
Male
Address
2696 Lawrenceville Suwanee Rd, Suwanee, GA, 30024-2535
Phone Number
678-376-1300
Fax Number
678-514-2936
Provider Enumeration Date
08/11/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2696 Lawrenceville Suwanee Rd
City
State
Zip
30024-2535
Phone Number
678-376-1300
Fax Number
678-514-2936
person
Provider Business Mailing Address Details
Address
2696 Lawrenceville Suwanee Rd
City
State
Zip
30024-2535
Phone Number
678-376-1300
Fax Number
678-514-2936
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
006030 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
RC60035704 (Washington)
Definition
Definition to come...
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