Unknown Individual – Physician Assistant, NPI 1306836382
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Reese Road, Westgate, Columbus, Muscogee County, Georgia, 31907, United States
UNIT C2
COLUMBUS, GA 319077015
Phone: (706) 561-8677
Fax: (706) 561-5958
Type: Mailing
Portland Road Northeast, Hayesville, Marion County, Oregon, 97309, United States
HAYESVILLE, NC 28904
Phone: (828) 389-1617
Fax: (828) 389-1640
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 31907)
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