Provider Demographics
NPI:1124205562
Name:ORDWAY, GEORGE A (PA)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:A
Last Name:ORDWAY
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Gender:M
Credentials:PA
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Mailing Address - Street 1:200 S ENOTA DR NE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-3473
Mailing Address - Country:US
Mailing Address - Phone:770-534-2020
Mailing Address - Fax:770-534-8025
Practice Address - Street 1:200 S ENOTA DR NE
Practice Address - Street 2:SUITE 200
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-3473
Practice Address - Country:US
Practice Address - Phone:770-534-2020
Practice Address - Fax:770-534-8025
Is Sole Proprietor?:No
Enumeration Date:2008-01-29
Last Update Date:2013-07-26
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Provider Licenses
StateLicense IDTaxonomies
GA005241363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical