NPI 1134875206 · live from the CMS NPI Registry
Almir Agic, PA-C
Physician Assistant in Marietta, GA. National Provider Identifier 1134875206, active.
NPI record
| NPI | 1134875206 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 115 Cherry St Ne, Marietta, GA 30060 |
| Practice phone | 770-793-5700 |
| Mailing address | 221 Quail Run, Roswell, GA 30076 |
| Enumerated | February 26, 2022 |
| Last updated | April 12, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 10893 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.