Mr. Theron J Holtzclaw, AA
Mr. Theron J Holtzclaw, AA is a Physician Assistant in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2006.
- Licensed in
- GA
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
1968 Peachtree Rd NWAtlanta, GA 30309-1281
Phone: (404) 351-1745
Fax: (404) 351-7121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Anesthesiologist Assistant (primary) | Taxonomy 367H00000X · Licence 002172 (GA) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence 002172 (GA) |
Record details
| NPI number | 1073538955 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | AA |
| Sole proprietor | No |
| NPI enumerated | July 13, 2006 |
| Last updated in NPPES | October 1, 2010 |
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