Individual provider · Type 1 NPI
Makala Raven Gore, PA
Physician Assistant · Newnan, GA
Practice location
775 Poplar Rd Ste 160A
Newnan, GA 30265-8302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | None listed |
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…
4 other providers at this address
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About NPI 1861289571
Makala Raven Gore, PA's National Provider Identifier is 1861289571, issued on Apr 24, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Newnan, GA. The record was last updated on Sep 16, 2025.