Individual provider · Type 1 NPI

Laurel West, PA-C

Medical Physician Assistant · Hinesville, GA

NPI number 1407426562 Active

Practice location

790 Veteran's Parkway Suite #101
Hinesville, GA 31313

Fax (912) 427-9851

Mailing address

P.o. Box 608
Yulee, FL 32041-0608

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X9280 (GA)
Medical Physician Assistant Primary 363AM0700XPA9111487 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1407426562

Laurel West, PA-C's National Provider Identifier is 1407426562, issued on Jul 15, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hinesville, GA. The record was last updated on May 9, 2022.