Individual provider · Type 1 NPI

Hayden Jagor Drake, PA-C

Surgical Physician Assistant · Snellville, GA

NPI number 1457700403 Active

Practice location

1557 Janmar Rd
Snellville, GA 30078-5686

Call (678) 344-8900 Map

Fax (678) 666-5201

Mailing address

1551 Janmar Rd
Snellville, GA 30078-5606

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X7991 (GA)
Surgical Physician Assistant 363AS0400XNone listed
Surgical Physician Assistant Primary 363AS0400X7991 (GA)

Surgical Physician Assistant: Definition to come...

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About NPI 1457700403

Hayden Jagor Drake, PA-C's National Provider Identifier is 1457700403, issued on Jun 10, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Snellville, GA. The record was last updated on Aug 4, 2023.