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Get Initial Physician Assistant Application - Georgia Composite Medical ... - Medicalboard Georgia

Sician Assistant Application All fees are nonrefundable and subject to change. Name and Personal Detail This information is authorized to be obtained and disclosed to state and federal agencies by O.C.G.A. 19-11-1 and O.C.G.A. 20-3-295, 42 U.S.C.A. 651 and 20 U.S.C.A. 1001. This information may also be disclosed to the National Practitioner Data Bank or other state medical boards or regulatory agencies for license tracking purposes. Check here if you would like to request a temporary.

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