Unknown Individual – Specialist, NPI 1285635847
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
111, Fieldstone Drive, Milledgeville, Baldwin County, Georgia, 31061, United States
SUITE 114
MILLEDGEVILLE, GA 310617106
Phone: (478) 457-0037
Fax: (478) 457-0040
Type: Mailing
803, South Main Street, Allens Trailer Park, Greensboro, Greene County, Georgia, 30642, United States
GREENSBORO, GA 306421211
Phone: (706) 319-8762
Fax: (706) 999-3221
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 ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31061)
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