Individual provider · Type 1 NPI
Lydia Jean Bottenfield, PA
Medical Physician Assistant · Peachtree City, GA
NPI number
1891456265
Active
Practice location
1201 Georgian Park
Peachtree City, GA 30269-6972
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 10793 (GA) |
Medical Physician Assistant: Definition to come...
3 other providers at this address
Other medical physician assistant providers in Peachtree City
About NPI 1891456265
Lydia Jean Bottenfield, PA's National Provider Identifier is 1891456265, issued on Jan 6, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Peachtree City, GA. The record was last updated on Jan 6, 2022.