SearchGeorgiaPhysician Assistant

Genesis Orellana Perdomo

NPI 1093531196 · on the registry since 2024 · sole proprietor

Practice

Address
815 Summer Ridge Ln
Lawrenceville, GA 30044
Phone
(678) 852-8014

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-06-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia