Healthcare Provider Details

I. General information

NPI: 1477529113
Provider Name (Legal Business Name): JAMES M. SETTLE PA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/23/2006
Last Update Date: 11/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6325 W JOHNS XING
DULUTH GA
30097-1530
US

IV. Provider business mailing address

531 ASBURY CIRCLE-ANNEX SUITE N340
ATLANTA GA
30322-0001
US

V. Phone/Fax

Practice location:
  • Phone: 404-778-5975
  • Fax: 404-778-2630
Mailing address:
  • Phone: 404-778-5975
  • Fax: 404-778-2630

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number001805
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number001805
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: