Unknown Individual – Specialist, NPI 1366498693
Specialist
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
999, South Macon Street, Jesup, Wayne County, Georgia, 31545, United States
JESUP, GA 315450240
Phone: (912) 385-2732
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 31545)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| Emergency Medicine | GA |
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