Individual provider · NPI-1

Tia Alynn George

Physician Assistant, Medical · Waycross, GA

NPI number1609048024
StatusActive
Last updated in NPPESMar 26, 2008

Details

NPI
1609048024
Entity type
Individual (NPI-1)
Name
Tia Alynn George
Sex
Female
Sole proprietor
No
Enumeration date
Mar 26, 2008
Last updated
Mar 26, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, Medical––Yes

Practice location

1218 Alice St
Waycross, GA 31501-4525

Phone 912-284-9800

Mailing address

Po Box 294
501 Old Pearson Rd
Homerville, GA 31634-0294

Phone 229-630-4073

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