- Practice location
- 426 Exchange Blvd Ste 600, Bethlehem, GA 30620-1794
- Phone
- 770-848-6190
- Fax
- —
- Last updated
- January 16, 2023
Horace Michael Delisser is a Physician Assistant, Surgical based in Bethlehem, GA. Horace Michael Delisser practices in Bethlehem, GA and has the professional credentials of PA. The NPI Number for Horace Michael Delisser is 1306357256 and holds a License No. 11352 (GA). The current practice location address for Horace Michael Delisser is 426 Exchange Blvd Ste 600, Bethlehem, GA 30620-1794 and can be reached out via phone at 770-848-6190.
Provider Profile Details
- NPI Number
- 1306357256
- Provider Name
- Horace Michael Delisser
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 426 Exchange Blvd Ste 600, Bethlehem, GA 30620-1794
- Phone Number
- 770-848-6190
- Primary Taxonomy
- Physician Assistant, Surgical · 363AS0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 18, 2017
- Last Update Date
- January 16, 2023
- Certification Date
- January 16, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 426 Exchange Blvd Ste 600
Bethlehem, GA 30620-1794 - City
- Bethlehem
- State
- Georgia
- Zip
- 30620-1794
- Phone Number
- 770-848-6190
Provider Business Mailing Address Details
- Address
- Po Box 742616
Atlanta, GA 30374-2616 - City
- Atlanta
- State
- GA
- Zip
- 30374-2616
- Phone Number
- 770-219-8420
License Information
- Taxonomy (1)
- Physician Assistant, Surgical · 363AS0400X
- License Number (2)
- 11352
- License State (2)
- GA
- Taxonomy (2)
- Physician Assistant, Surgical · 363AS0400X · Primary
- License Number (3)
- MA059415
- License State (3)
- PA
- Taxonomy (3)
- Physician Assistant, Surgical · 363AS0400X
- License Number (4)
- 25MP00494800
- License State (4)
- NJ
- Taxonomy (4)
- Physician Assistant, Surgical · 363AS0400X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistant, Surgical providers near Bethlehem, GA
View all Physician Assistant, Surgical providers in Bethlehem →Frequently Asked Questions
What is the NPI number of Mr. Horace M Delisser Jr., PA?
The NPI number of Mr. Horace M Delisser Jr., PA is 1306357256. It was assigned on October 18, 2017 and is currently active in the NPPES registry.
What is the specialty of Mr. Horace M Delisser Jr., PA?
Mr. Horace M Delisser Jr., PA is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in GA under license number 11352.
Where does Mr. Horace M Delisser Jr., PA practice?
The practice location is 426 Exchange Blvd Ste 600, Bethlehem, GA 30620-1794. The office can be reached at 770-848-6190 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306357256 directly on the NPPES registry website.