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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. HORACE MICHAEL DELISSER JR., PA

Active

MR. HORACE MICHAEL DELISSER JR., PA is a Surgical Physician Assistant healthcare provider located in BETHLEHEM, Georgia. NPI 1306357256 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · BETHLEHEM, GA

Registration Details

NPI Number
1306357256
Provider Type
Individual
Gender
Male
NPI Issued
Oct 18, 2017 (8.8575083197294 yrs)
Last Updated
Jan 16, 2023
Licenses
11352 (GA)
MA059415 (PA)
25MP00494800 (NJ)

Practice Information

Address
426 EXCHANGE BLVD STE 600
BETHLEHEM, GA, 306201794
Browse GA providers · Browse ZIP 30620
Phone
7708486190
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant
Additional Specialty
Surgical Physician Assistant
Additional Specialty
Surgical Physician Assistant

Other Surgical Physician Assistant Providers in BETHLEHEM, GA

Name Credential NPI
JOHN MICHAEL RUTLEDGE PA 1003403353
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.