License holder summary

BACICH, JOHNATHAN NICHOLAS is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for BACICH, JOHNATHAN NICHOLAS is 210 E DERENNE AVENUE | ATTN: LYSA TRINH, Savannah 31405. This doctor license is current. The license was granted 09/14/2007 and expired on 05/31/2017.

Georgia

Composite Medical Board

BACICH, JOHNATHAN NICHOLAS
Medical - Physician Assistant
License number
005124
Date granted
09/14/2007
Date expires
05/31/2017
Class
Medical - Physician Assistant
Status
Active
Address
210 E DERENNE AVENUE | ATTN: LYSA TRINH
georgiadoctors.net
ID 38096369
LAST UPDATED 2026-05-26 01:17:51 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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