Unknown Individual – Surgical Physician Assistant, NPI 1235190042
Surgical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
150, Country Club Drive, Stockbridge, Henry County, Georgia, 30281, United States
SUITE 100
STOCKBRIDGE, GA 302817344
Phone: (770) 474-3882
Fax: (770) 474-9392
Mailing address matches the actual address.
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 30281)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA |
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