Rita Nagawa

NPI #1487255113 in Canton, Georgia

Provider Information

NPI Number: 1487255113
Entity Type: Individual
Name: Rita Nagawa
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Nov 9, 2020
Last Updated: Dec 22, 2020

Practice Location

Address: 111 MOUNTAIN BROOK DR
City: Canton
State: Georgia
ZIP Code: 30115-9045
Phone: (678) 880-9654

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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