Individual provider · Type 1 NPI

Michael Brian Witherspoon, PA

Physician Assistant · Fayetteville, GA

NPI number 1710326459 Active

Practice location

1255 Hwy 54 W
Fayetteville, GA 30214

Mailing address

18167 US Hwy. 19 N #650
Clearwater, FL 33764

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X6837 (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…

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About NPI 1710326459

Michael Brian Witherspoon, PA's National Provider Identifier is 1710326459, issued on Jun 16, 2013. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fayetteville, GA. The record was last updated on Sep 24, 2015.