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

MR. MICHAEL BRIAN WITHERSPOON, PA

Active Sole Proprietor

MR. MICHAEL BRIAN WITHERSPOON, PA is a Physician Assistant healthcare provider located in FAYETTEVILLE, Georgia. NPI 1710326459 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · FAYETTEVILLE, GA

Registration Details

NPI Number
1710326459
Provider Type
Individual
Gender
Male
NPI Issued
Jun 16, 2013 (13.164104722898 yrs)
Last Updated
Sep 24, 2015
License
6837 (GA)
Sole Proprietor
Yes

Practice Information

Address
1255 HWY 54 W
FAYETTEVILLE, GA, 30214
Browse GA providers · Browse ZIP 30214
Phone
7707935000
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in FAYETTEVILLE, GA

Name Credential NPI
DONICA J DAVIS PAC 1447246780
MRS. PATRICIA MARIE ELLIS PA-C 1346237450
JOAN S SANDERS P.A.-C 1952385296
KRISTEN N BUSBY PA-C 1386614477
PATRICIA T. PERRY PA 1568438216
PATRICIA C PURNELL PA 1184667156
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.