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MR. SCOTT PATRICK PERDUE PA-AA

Nursing Yellow Pages

Macon, Georgia

Provider NPI: 1255443800

Provider Information:
MR. SCOTT PATRICK PERDUE PA-AA


Practice Location:
380 HOSPITAL DR SUITE 410 MACON, GA 31217 US
Tel: 478-746-5644  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y367H00000XPhysician Assistants & Advanced Practice Nursing Providers
Anesthesiologist Assistant
GA3701

Other Provider Identifiers:

IssuerNumberStateType
RAILROAD MEDICAREP00953042GA01
003109640AGA05
003109640DGA05
WELLCARE592779GA01
873397113AGA05
003109640BGA05
TRICARE580628385GA01
003109640CGA05
1DGAN385SC05
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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