Unknown Individual – Physician Assistant, NPI 1003911991
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
900 W TEMPLE AVE STE 106
EFFINGHAM, IL 624012186
Phone: (217) 347-2707
Fax: (217) 347-2827
Type: Mailing
512, North Maple Street, Effingham, Effingham County, Illinois, 62401, United States
EFFINGHAM, IL 624012005
Phone: (217) 347-7030
Fax: (217) 347-7049
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)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62401)
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