Unknown Individual – Internal Medicine Physician, NPI 1093793606
Internal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
Satilla Boulevard, Waycross, Ware County, Georgia, 31501, United States
WAYCROSS, GA 315014308
Phone: (912) 278-4335
Type: Mailing
86034 Sinatra St
Yulee, FL 320973907
Phone: (912) 278-4335
Type: Location
Jesup Drive-in Theatre, 3686, Savannah Highway, Jesup, Wayne County, Georgia, 31545, United States
JESUP, GA 315455514
Phone: (912) 278-4335
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31501)
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