Unknown Individual – Medical Physician Assistant, NPI 1619075884
Medical Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
615, Pendleton Street, Waycross, Ware County, Georgia, 31501, United States
WAYCROSS, GA 315014724
Phone: (912) 548-0710
Fax: (912) 283-8204
Mailing address matches the actual address.
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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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)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31501)
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