Provider Demographics
NPI:1891046694
Name:LITTLE, EMILY F (PA-C)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:F
Last Name:LITTLE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 TALBOTTON RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-8749
Mailing Address - Country:US
Mailing Address - Phone:706-641-6900
Mailing Address - Fax:706-327-0757
Practice Address - Street 1:1130 TALBOTTON RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-8749
Practice Address - Country:US
Practice Address - Phone:706-641-6900
Practice Address - Fax:706-327-0757
Is Sole Proprietor?:No
Enumeration Date:2012-09-20
Last Update Date:2013-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2358363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical