Individual provider · Type 1 NPI
George Roger Vaillant, PA-C
Medical Physician Assistant · Midland, GA
NPI number
1942411038
Active
Practice location
119 Steele Creek Dr
Midland, GA 31820-4597
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 002272 (GA) |
Medical Physician Assistant: Definition to come...
About NPI 1942411038
George Roger Vaillant, PA-C's National Provider Identifier is 1942411038, issued on May 24, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Midland, GA. The record was last updated on Jul 8, 2007.