License holder summary

HOMSOMBATH, NILAPHONE NOK is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for HOMSOMBATH, NILAPHONE NOK is 1350 WALTON WAY, Augusta 30901. This doctor license is not current. The license was granted 06/06/2014 and expired on 04/30/2016.

Georgia

Composite Medical Board

HOMSOMBATH, NILAPHONE NOK
Medical - Physician Assistant
License number
007194
Date granted
06/06/2014
Date expires
04/30/2016
Class
Medical - Physician Assistant
Status
In Renewal
Address
1350 WALTON WAY
georgiadoctors.net
ID 38098842
LAST UPDATED 2024-02-21 22:33:08 UTC

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