Unknown Individual – Obstetrics & Gynecology Physician, NPI 1336111012
Obstetrics & Gynecology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Cordele Post Office, 11th Avenue East, Cordele, Crisp County, Georgia, 31010, United States
CORDELE, GA 31010
Phone: (229) 276-3038
Fax: (229) 276-3631
Type: Mailing
910, 5th Street North, Cordele, Crisp County, Georgia, 31015, United States
CORDELE, GA 310153254
Phone: (229) 276-3038
Fax: (229) 276-3631
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 31010)
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