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GREGORY M DEEDRICK PA-AA

Nursing Yellow Pages

Macon, Georgia

Provider NPI: 1750502662

Provider Information:
 GREGORY M DEEDRICK PA-AA


Practice Location:
777 HEMLOCK ST  MACON, GA 31201 US
Tel: 866-507-5244  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y367H00000XPhysician Assistants & Advanced Practice Nursing Providers
Anesthesiologist Assistant
GA003888

Other Provider Identifiers:

IssuerNumberStateType
PEACHSTATE CMO - MCCG100002399AGA01
RAILROAD MCR - MCCG430079677GA01
MEDICARE PTAN97WCDNQGA01
100002399AGA05
WELLCARE CMO - MCCG344300GA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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