Individual provider · Type 1 NPI
Angela Tison Dimare, PA-C
Surgical Physician Assistant · Marietta, GA
NPI number
1245483486
Active
Practice location
300 Tower Road, Suite 200
Marietta, GA 30060-9403
Fax (770) 514-6744
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 005464 (GA) |
| Physician Assistant | 363A00000X | 005464 (GA) |
Surgical Physician Assistant: Definition to come...
3 other providers at this address
Other surgical physician assistant providers in Marietta
- Torey Charlise Davis-Bogan, SA-C, CSTSurgical Physician Assistant Marietta, GA NPI 1003455874
- Ionela Anca Turcin, PA-CSurgical Physician Assistant Marietta, GA NPI 1023964517
- Brandon Virdell King, CSA, CSFASurgical Physician Assistant Marietta, GA NPI 1033447313
- Po El Wenrick, PASurgical Physician Assistant Marietta, GA NPI 1083107718
- Paula Lorene Cutrona, PA-CSurgical Physician Assistant Marietta, GA NPI 1083765937
- Sara Stephano Adams, PA-CSurgical Physician Assistant Marietta, GA NPI 1124504675
- Henry Payton, PASurgical Physician Assistant Marietta, GA NPI 1164969192
- Dixie Mayberry, PASurgical Physician Assistant Marietta, GA NPI 1184098832
About NPI 1245483486
Angela Tison Dimare, PA-C's National Provider Identifier is 1245483486, issued on Oct 31, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Marietta, GA. The record was last updated on Jan 31, 2014.