Unknown Individual – Medical Physician Assistant, NPI 1790752152
Medical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Cordele Post Office, 11th Avenue East, Cordele, Crisp County, Georgia, 31010, United States
CORDELE, GA 31010
Phone: (229) 271-9330
Fax: (229) 271-9245
Type: Mailing
Hospital Drive, Cordele, Crisp County, Georgia, 31010, United States
CORDELE, GA 31015
Phone: (229) 271-9330
Fax: (229) 271-9245
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)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31010)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| - | GA | |
| General Surgery | GA | |
| Nurse Practitioner | GA | |
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA |
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