Ms. ANTOINETTE THEODORE PA-C
Individual Provider (NPI-1)
Active
Physician Assistant, Medical
Provider Information
- NPI Number
1558882381- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 5635 PEACHTREE PKWY STE 180, PEACHTREE CORNERS, GA, 300922823
- Phone
- (470) 938-6670
- Fax
- (678) 272-3144
Specialties & Taxonomies
Physician Assistant, Medical
Primary License: GA #10250