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Medical Physician Assistant

NPI: 1922562818IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician Assistant

Physician Assistant

Code: 363A00000X

0110-007207(VA)1730(AL)4650(TN)
Student in an Organized Health Care Education/Training Program

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Medical Physician AssistantPrimary

Physician Assistant — Medical

Code: 363AM0700X

C5-001-1646(DE)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2019

Contact & Hours

Via practice · 4 locations total

Address
2908 MALL RD
FLORENCE, AL 35630

Locations (4)

Practice Location

2908 MALL RD, FLORENCE, AL
(256) 767-2702

Practice Location

100 WELLNESS WAY, MILFORD, DE
(302) 422-3311

Practice Location

321 GENESEE ST, ONEIDA, NY
(315) 363-6000

Practice Location

801 MIDDLEFORD RD, SEAFORD, DE
(302) 629-6611

Quick Facts

NPI
1922562818
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
5
Locations
4
Years in Practice
7

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