Jesse Lockhart, PA-C Valid NPI

Individual provider · Physician Assistant · Columbus, GA

NPI

1316121106

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

3983 (GA)

Sex

Male

Sole proprietor

No

Enumerated

2007-12-28

Last updated

2015-05-27