Unknown Individual – Medical Physician Assistant, NPI 1023012580
Medical Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
210, North Racetrack Street, Swainsboro, Emanuel County, Georgia, 30401, United States
SWAINSBORO, GA 304013204
Phone: (478) 237-8134
Fax: (478) 237-4299
Type: Mailing
114, Jefferson Street, Swainsboro, Emanuel County, Georgia, 30401, United States
SWAINSBORO, GA 304013146
Phone: (478) 237-7517
Fax: (478) 237-4299
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
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
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 30401)
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