Jordan Dasilva, PA-C

NPI 1306243191 · on the registry since 2014 · sole proprietor

Practice

Address: 631 Professional Dr Ste 360
Lawrenceville, GA 30046
Phone: (678) 312-2700
Organisation at this address: Walgreen Co
Cavells Inc
Georgia Urology, Pa
Charles B Moomey Jr Md
Wallace F. Martin, M.D.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 101

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: 2024-01-29

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