Susannah Abbygayle Drawdy
Physician Assistant in Waycross, GA. Individual provider (NPI-1).
NPI number1922778125
StatusActive
Last updated in NPPESApr 12, 2024
Details
- NPI
- 1922778125
- Entity type
- Individual (NPI-1)
- Name
- Susannah Abbygayle Drawdy
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 18, 2021
- Certification date
- Apr 12, 2024
- Last updated
- Apr 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 11474 | GA | Yes |
| 363A00000X | Physician Assistant | – | – |
Practice location
1206 Alice StWaycross, GA 31501-4525
Phone 912-285-1140 · Fax 912-285-1125
Mailing address
Po Box 749495Atlanta, GA 30374-9495
Phone 239-432-8331 · Fax 813-321-1296
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