Unknown Individual – Surgery Physician, NPI 1730126194
Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
202, South Cherry Street, Ocilla, Irwin County, Georgia, 31774, United States
OCILLA, GA 31774
Phone: (229) 468-5015
Fax: (912) 383-6365
Type: Mailing
Ocilla Road, Douglas, Coffee County, Georgia, 31533, United States
DOUGLAS, GA 31533
Phone: (912) 384-4010
Fax: (912) 383-6365
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 ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31774)
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