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Nocollege Pupuma, P.A.C
NPI 1689626657 · on the registry since 2006
Practice
- Address
- 1431 Riverside Pkwy
Suite B
Lawrenceville, GA 30043 - Phone
- (770) 513-0111
- Fax
- (770) 513-3731
- Organisation at this address
- Prohealth Integrated Medical
Advantage Health & Rehab Llc
Georgia Psychological Services, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-07-13
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