PROF. JOHN LIDELL, M.M.SC. , PA-C
Physician Assistant
Active
Individual
NPI: 1962487538
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 002952 (GA) |
Frequently Asked Questions
NPI 1962487538 is the National Provider Identifier for PROF. JOHN LIDELL, M.M.SC. , PA-C, a Physician Assistant provider located in Mcdonough, GA. This NPI was enumerated on December 7, 2005.
PROF. JOHN LIDELL, M.M.SC. , PA-C practices at 101 REGENCY PARK DR STE 110, Mcdonough, GA 30253.
Quick Facts
- NPI
- 1962487538
- Type
- Individual
- Enumerated
- Dec 7, 2005
- Last Updated
- Oct 27, 2021
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