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KEVIN LACK, P.A.-C
P.A.-C
Surgical Physician Assistant
NPI: 1417924028IndividualAccepts Medicare
Specialties, Licenses & Credentials
Surgical Physician AssistantPrimary
Physician Assistant — Surgical
Code: 363AS0400X
PA-1765(ID)PA1198(SC)PA0000001669(TN)PA9106353(FL)4292(GA)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2004
Contact & Hours
Via practice · 2 locations total
- Address
- 3675 J DEWEY GRAY CIRCLE, SUITE 300
AUGUSTA, GA 30909 - Phone
- (706) 863-9595
Quick Facts
- NPI
- 1417924028
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 5
- Locations
- 2
- Years in Practice
- 22
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