Unknown Individual – Physician Assistant, NPI 1215996996
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
396 HISTORIC HIGHWAY 441 N
DEMOREST, GA 305354522
Phone: (706) 754-4348
Type: Location
3870, The Colbert, Omaha, Douglas County, Nebraska, 68131, United States
COLBERT, GA 306280459
Phone: (706) 788-3234
Type: Mailing
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 30535)
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