Georgia
Composite Medical Board
TO, VIVIAN
Medical - Physician Assistant
License number
006552
Date granted
09/13/2012
Date expires
09/30/2017
Class
Medical - Physician Assistant
Status
Active
Address
148 WAYPOINT DRIVE
georgiadoctors.net
ID 38102070
LAST UPDATED 2026-07-25 04:51:12 UTC
LAST UPDATED 2026-07-25 04:51:12 UTC
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