| Madison Kae Sowerwine, PA | |
|
1578 Us Highway 19 S Apt 2108, Leesburg, GA 31763-5933 | |
| (602) 881-2855 | |
| Not Available |
| Full Name | Madison Kae Sowerwine |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1578 Us Highway 19 S Apt 2108, Leesburg, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750044772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| 363A00000X | Physician Assistant | 9436 (Arizona) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Kae Sowerwine, PA 5850 E Still Cir, Mesa, AZ 85206-3618 Ph: (602) 881-2855 | Madison Kae Sowerwine, PA 1578 Us Highway 19 S Apt 2108, Leesburg, GA 31763-5933 Ph: (602) 881-2855 |
Carla D Johnson, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 101 Oakland Crossing Dr, Leesburg, GA 31763 Phone: 229-888-4093 Fax: 229-888-4098 | |
Michael Hardy, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 235 Walnut Ave S, Leesburg, GA 31763 Phone: 229-759-6508 | |
Tiffany R Levins, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 235 Walnut Street, Leesburg, GA 31763 Phone: 229-759-6508 Fax: 229-759-9950 |