Broadwater, Alyssa
Broadwater, Alyssa is an individual health care provider with primary practice located at 5665 Peachtree Dunwoody Rd , Atlanta GA 30342-1764. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Broadwater, Alyssa can be contacted via phone (404) 778-7200.Contact Information
Primary practice address
5665 Peachtree Dunwoody Rd
Atlanta GA 30342-1764
Phone: (404) 778-7200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X |
Profile Details
| NPI number | 1245866276 |
|---|---|
| LBN Legal business name | Broadwater, Alyssa |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2020 |
| Last updated | Jul 20th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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