MS. Nocollege A Pupuma, P.A.C.
NPI #1689626657 in Lawrenceville, Georgia
Provider Information
- NPI Number
- 1689626657
- Entity Type
- Individual
- Name
- MS. Nocollege A Pupuma, P.A.C.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Physician Assistant - Medical
- Credential
- P.A.C.
- Enumeration Date
- May 17, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1431 RIVERSIDE PKWY
- Address 2
- SUITE B
- City
- Lawrenceville
- State
- Georgia
- ZIP Code
- 30043-5946
- Phone
- (770) 513-0111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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