Justin Mukhalian, PA Valid NPI
Individual provider · Physician Assistant · Winder, GA
- NPI
- 1194439778
- Type
- Individual (Type 1)
- Primary specialty
- Physician Assistant
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363A00000X
- License number
- 12397 (GA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2023-01-09
- Last updated
- 2024-10-25
Practice location
30 Satellite Dr Ste 200
Winder, GA 30680-6211
(770) 586-0300