Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Michael Brian Witherspoon, PA

Individual provider Physician Assistant · NPI 1710326459

Mr. Michael Brian Witherspoon, PA is a Physician Assistant in Fayetteville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2013
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1255 Hwy 54 W
Fayetteville, GA 30214
Phone: (770) 793-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6837 (GA)

Record details

NPI number1710326459
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedJune 16, 2013
Last updated in NPPESSeptember 24, 2015

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