Individual provider · Type 1 NPI

Alyssa Broadwater, PA-C

Surgical Physician Assistant · Atlanta, GA

NPI number 1245866276 Active

Practice location

5665 Peachtree Dunwoody Rd
Atlanta, GA 30342-1764

Call (404) 778-7200 Map

Mailing address

731 Paint Horse Dr
Canton, GA 30115-6817

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1245866276

Alyssa Broadwater, PA-C's National Provider Identifier is 1245866276, issued on Mar 21, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Atlanta, GA. The record was last updated on Jul 20, 2020.