License holder summary

INGRAM, PHILIP RANDALL is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for INGRAM, PHILIP RANDALL is 1611 SANDS ROAD, Marietta 30067. This doctor license is not current. The license was granted 08/09/1984 and expired on 12/31/1992.

Georgia

Composite Medical Board

INGRAM, PHILIP RANDALL
Medical - Physician Assistant
License number
001132
Date granted
08/09/1984
Date expires
12/31/1992
Class
Medical - Physician Assistant
Status
Lapsed
Address
1611 SANDS ROAD
georgiadoctors.net
ID 38098997
LAST UPDATED 2024-05-10 05:19:53 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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