Individual provider · Type 1 NPI

Seth E. Enterline, PA

Surgical Physician Assistant · Gainesville, GA

NPI number 1700166428 Active

Practice location

1211 Sherwood Park Dr NE Ste A
Gainesville, GA 30501-3444

Call (770) 219-3202 Map

Mailing address

PO Box 742616
Atlanta, GA 30374-2616

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X007478 (GA)
Physician Assistant 363A00000X7478 (GA)

Surgical Physician Assistant: Definition to come...

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About NPI 1700166428

Seth E. Enterline, PA's National Provider Identifier is 1700166428, issued on Aug 25, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Gainesville, GA. The record was last updated on Oct 15, 2020.