Unknown Individual – Medical Physician Assistant, NPI 1477637882
Medical Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
501 16TH AVE N APT J9
PHENIX CITY, AL 368696888
Phone: (334) 732-1690
Type: Mailing
7590 MARTIN LOOP
MARTIN ARMY COMMUNITY HOSPITAL
FORT BENNING, GA 31905
Phone: (706) 545-2778
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 36869)
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