Bethany Struckmeyer, PA-C
Physician Assistant in Atlanta, GA. Individual provider (NPI-1).
NPI number1154887420
StatusActive
Last updated in NPPESSep 24, 2021
Details
- NPI
- 1154887420
- Entity type
- Individual (NPI-1)
- Name
- Bethany Struckmeyer
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 12, 2019
- Certification date
- Sep 24, 2021
- Last updated
- Sep 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 9135 | GA | Yes |
Practice location
1800 Peachtree St Nw Ste 855Atlanta, GA 30309-2519
Phone 470-226-2390
Mailing address
1800 Peachtree St Nw Ste 855Atlanta, GA 30309-2519
Phone 470-226-2390
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