Organization · Type 2 NPI

Stillwell Medical Group

Physician Assistant · Loganville, GA

NPI number 1659414175 Active

Practice location

4160 Logan Dr Unit 1596
Loganville, GA 30052-9516

Mailing address

4160 Logan Dr #1596
Loganville, GA 30052

Specialties and licenses

TaxonomyCodeLicense
Surgical Assistant 246ZC0007XNone listed
Physician Assistant Primary 363A00000X3135 (GA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

About NPI 1659414175

Stillwell Medical Group's National Provider Identifier is 1659414175, issued on Feb 14, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Loganville, GA. The record was last updated on Feb 4, 2016.