Unknown Individual – Physician Assistant, NPI 1962407965
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Martha Berry Boulevard, DeSoto Homes, Rome, Floyd County, Georgia, 30149, United States
ROME, GA 301651625
Phone: (706) 295-5331
Fax: (706) 235-3104
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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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 30165)
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