Organization · Type 2 NPI
Lake Oconee Urgent and Specialty Care Center
Medical Physician Assistant · Eatonton, GA
NPI number
1235547431
Active
Practice location
105 Harmony Xing, Suite 3
Eatonton, GA 31024-9522
Mailing address
1881 Lancaster Dr SE
Conyers, GA 30013-6440
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 7235 (GA) |
Medical Physician Assistant: Definition to come...
Another provider at this address
About NPI 1235547431
Lake Oconee Urgent and Specialty Care Center's National Provider Identifier is 1235547431, issued on Jul 31, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Eatonton, GA. The record was last updated on Jul 31, 2014.