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:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 367H00000X | Physician Assistants & Advanced Practice Nursing Providers Anesthesiologist Assistant | GA | 3701 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
RAILROAD MEDICARE | P00953042 | GA | 01 |
003109640A | GA | 05 | |
003109640D | GA | 05 | |
WELLCARE | 592779 | GA | 01 |
873397113A | GA | 05 | |
003109640B | GA | 05 | |
TRICARE | 580628385 | GA | 01 |
003109640C | GA | 05 | |
1DGAN385 | SC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin