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JOE BAUGHAM PA-C
>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1730620410
Individual Registrant: JOE BAUGHAM PA-C
Gender: M
Not Sole Proprietor
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
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
Tel: 229-226-3060 Fax: 855-460-8658
Registration Information:
NPI: 1730620410
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | FL | PA9114730 |
| Y | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | GA | 008291 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
