SearchGeorgiaMedical Physician Assistant

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, Llc
Inferred 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