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LARISSA H PEARCE PA

Nursing Yellow Pages

Atlanta, Georgia

Provider NPI: 1780639567

Provider Information:
 LARISSA H PEARCE PA


Practice Location:
303 PARKWAY DR NE PMB 404 ATLANTA, GA 30312 US
Tel: 404-265-4520  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y367H00000XPhysician Assistants & Advanced Practice Nursing Providers
Anesthesiologist Assistant
GA003914

Other Provider Identifiers:

IssuerNumberStateType
WELLCARE MEDICAIDN347271GA01
NPI1780639567GA01
GROUP NPI1982637419GA01
000210780AGA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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