Individual provider · Type 1 NPI

Duane L. Prickett, SA-C, RSA, LSA

Surgical Physician Assistant · Atlanta, GA

NPI number 1215084959 Active

Practice location

1579 Monroe Dr NE Ste F
Atlanta, GA 30324-5022

Call (404) 788-1321 Map

Specialties and licenses

TaxonomyCodeLicense
Surgical Assistant 246ZC0007X02-151 (GA)
Surgical Physician Assistant Primary 363AS0400XNone listed

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About NPI 1215084959

Duane L. Prickett, SA-C, RSA, LSA's National Provider Identifier is 1215084959, issued on Jan 4, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Atlanta, GA. The record was last updated on Dec 5, 2013.