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NPI Code Detail

MEDICARE: MR. YOSEF J. GILES SR. PA-C

MEDICARE: MR. YOSEF J. GILES SR. PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant0010-12856NC
2363A00000XPhysician Assistant0110002854VA
3363A00000XPhysician Assistant6012GA

General Provider Information

NPI Number : 1811138126
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. YOSEF J. GILES SR. PA-C
Provider Business Mailing Address
First Line : 1800 HOWELL MILL RD NW STE 800
Second Line :
City : ATLANTA
State : GA
Zip : 30318-0922
Country : US
Telephone Number : 404-350-9853
Fax Number : 404-350-8407
Provider Business Practice Location Address
First Line : 1800 HOWELL MILL RD NW STE 800
Second Line :
City : ATLANTA
State : GA
Zip : 30318-0922
Country : US
Telephone Number : 404-350-9853
Fax Number : 404-350-8407
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2009
Last Update Date : 04/27/2026

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