Search › Georgia › Medical Physician Assistant
Anthony Medina
NPI 1174779177 · on the registry since 2008
Practice
- Address
- 2696 Lawrenceville Suwanee Rd
Suwanee, GA 30024 - Phone
- (678) 376-1300
- Fax
- (678) 514-2936
- Organisation at this address
- Serenity Pain Relief
Reagan Medical Center
Reagan Medical Center LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Also registered as
- Mental Health Counselor
- Licence states on file
- WA, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-05-18
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