Individual provider · Type 1 NPI

Thomas Randall Humphrey, PA

Physician Assistant · Roswell, GA

NPI number 1164733697 Active

Practice location

1357 Hembree Rd, Suite 250
Roswell, GA 30076-5722

Fax (770) 343-9080

Mailing address

1930 Brannan Rd
Mcdonough, GA 30253-4310

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X001599 (GA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1164733697

Thomas Randall Humphrey, PA's National Provider Identifier is 1164733697, issued on Jun 30, 2010. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Roswell, GA. The record was last updated on Jan 20, 2015.