Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ANTHONY E. MEDINA
ActiveMR. ANTHONY E. MEDINA is a Medical Physician Assistant healthcare provider located in SUWANEE, Georgia. NPI 1174779177 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · SUWANEE, GA
Registration Details
- NPI Number
- 1174779177
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 11, 2008 (17.990428841356 yrs)
- Last Updated
- May 18, 2011
- Licenses
-
RC60035704 (WA)006030 (GA)
Practice Information
- Address
-
2696 LAWRENCEVILLE SUWANEE RDSUWANEE, GA, 300242535Browse GA providers · Browse ZIP 30024
- Phone
- 6783761300
- Fax
- 6785142936
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in SUWANEE, GA
| Name | Credential | NPI |
|---|---|---|
| LEAH R REYNOLDS | P.A.-C. | 1124088851 |
| HALEH M STRATTON | P.A. | 1710125745 |
| EKLAS MOHAMMED | PA | 1073847828 |
| SANDRA SULLIVAN TYLER | PAC | 1588963490 |
| SHIMA LAVIGNO | PA-C | 1679855001 |
| MR. JOHN CALEB HENSON | PA-C | 1730593815 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.