Individual provider · Type 1 NPI
Horace Michael Delisser Jr., PA
Surgical Physician Assistant · Bethlehem, GA
NPI number
1306357256
Active
Practice location
426 Exchange Blvd Ste 600
Bethlehem, GA 30620-1794
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Other practice locations
- 150 Delsea Dr Ste B, Sewell, NJ 08080-9478 · (856) 302-0500
- 479 Thomas Jones Way Ste 300, Exton, PA 19341-2552 · (610) 280-9999
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant | 363AS0400X | None listed |
| Surgical Physician Assistant Primary | 363AS0400X | 11352 (GA) |
| Surgical Physician Assistant | 363AS0400X | MA059415 (PA) |
| Surgical Physician Assistant | 363AS0400X | 25MP00494800 (NJ) |
Surgical Physician Assistant: Definition to come...
3 other providers at this address
Other surgical physician assistant providers in Bethlehem
About NPI 1306357256
Horace Michael Delisser Jr., PA's National Provider Identifier is 1306357256, issued on Oct 18, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bethlehem, GA. The record was last updated on Jan 16, 2023.