| Mr Rallie D Cogburn Sr, PA | |
|
6070 Lakeside Commons Dr, Macon, GA 31210-5778 | |
| (478) 254-2644 | |
| (478) 254-4924 |
| Full Name | Mr Rallie D Cogburn Sr |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 6070 Lakeside Commons Dr, Macon, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548265549 | NPI | - | NPPES |
| 100002802A | Medicaid | GA | |
| 100002802B | Medicaid | GA | |
| 00317358L | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 003476 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Rallie D Cogburn Sr, PA Po Box 26790, Macon, GA 31221-6790 Ph: (478) 254-2644 | Mr Rallie D Cogburn Sr, PA 6070 Lakeside Commons Dr, Macon, GA 31210-5778 Ph: (478) 254-2644 |
Jacquelyn Denise Payne, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 840 Pine St Ste 500, Macon, GA 31201 Phone: 478-633-8682 Fax: 478-633-8698 | |
Clayton Walter Guthrie Iii, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3708 Northside Dr, Macon, GA 31210 Phone: 478-745-4206 Fax: 478-254-5463 | |
Gabrielle Morgan-benedetto Fleenor, Physician Assistant Medicare: Medicare Enrolled Practice Location: 623 Juniper Ln Apt 623, Macon, GA 31220 Phone: 207-877-4357 | |
Heidi Mans Atkins, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 556 3rd St Ste A, Macon, GA 31201 Phone: 784-743-2472 Fax: 478-743-1516 | |
Rachel Hinson Youngblood, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 800 1st St Ste 410, Macon, GA 31201 Phone: 478-743-7068 Fax: 478-741-1354 | |
James B Lekas, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1157 Forsyth St, Macon, GA 31201 Phone: 478-745-8581 Fax: 478-328-0438 | |
Emily Huckaby Arnold, PHYSICIANS ASSISTANC Physician Assistant Medicare: Medicare Enrolled Practice Location: 610 3rd St, Suite 200, Macon, GA 31201 Phone: 478-464-2600 Fax: 478-738-0891 |