Individual provider · Type 1 NPI

Nathan Scott Lycan, PA

Medical Physician Assistant · Atlanta, GA

NPI number 1366755993 Active

Practice location

1968 Peachtree Road NW
Atlanta, GA 30309

Call (404) 605-2800 Map

Fax (404) 351-5983

Mailing address

275 Collier Rd NW, Suite 500
Atlanta, GA 30309-1709

Other practice locations

  • 1 Embarcadero Ctr Ste 1900, San Francisco, CA 94111-3723 · (888) 663-6331

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X005811 (GA)
Physician Assistant 363A00000X54202 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1366755993

Nathan Scott Lycan, PA's National Provider Identifier is 1366755993, issued on Jul 25, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Atlanta, GA. The record was last updated on Sep 20, 2024.