Ian James Mukisa, PA
Ian James Mukisa, PA is a Student in an Organized Health Care Education/Training Program in Fort Gordon, Georgia. Practices as a sole proprietor. Licensed in Georgia.
- Licensed in
- GA
- In the registry since
- 2019
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Partly verified
Dwight David Eisenhower Army Medical Center 300 East Hospital RdFort Gordon, GA 30909-5650
Phone: (631) 568-1009
Fax: (706) 787-1745
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (GA) |
|---|
Record details
| NPI number | 1821632985 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | Yes |
| NPI enumerated | November 1, 2019 |
| Last updated in NPPES | March 24, 2021 |
| Certification date | March 24, 2021 |
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