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JOE BAUGHAM PA-C

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1730620410

Individual Registrant:
 JOE  BAUGHAM PA-C
Gender: M
Not Sole Proprietor

Location and contact information for practice:
505 GORDON AVE  THOMASVILLE, GA 31792-6645 US
Tel: 229-226-3060  Fax: 855-460-8658

Contact information for business:
505 GORDON AVE  THOMASVILLE, GA 31792-6645 US
Tel: 229-226-3060  Fax: 855-460-8658

Registration Information:
NPI: 1730620410
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
FLPA9114730
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
GA008291

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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