MR. ANTHONY MEDINA

Physician Assistant - Medical

Active Individual
NPI: 1174779177

Practice Address

2696 LAWRENCEVILLE SUWANEE RD
Suwanee, GA 30024

Phone: (678) 376-1300

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X No RC60035704 (WA)
Physician Assistant - Medical 363AM0700X Yes 006030 (GA)

Frequently Asked Questions

NPI 1174779177 is the National Provider Identifier for MR. ANTHONY MEDINA, a Physician Assistant - Medical provider located in Suwanee, GA. This NPI was enumerated on August 11, 2008.
MR. ANTHONY MEDINA practices at 2696 LAWRENCEVILLE SUWANEE RD, Suwanee, GA 30024.

Quick Facts

NPI
1174779177
Type
Individual
Enumerated
Aug 11, 2008
Last Updated
May 18, 2011

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