Mr Richard G Slipkovich, PA | |
211 Fairview Rd, Ellenwood, GA 30294-2721 | |
(770) 507-4554 | |
(770) 507-6413 |
Full Name | Mr Richard G Slipkovich |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 211 Fairview Rd, Ellenwood, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407900335 | NPI | - | NPPES |
220269127A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 001439 (Georgia) | Primary |
Mailing Address | Practice Location Address |
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Mr Richard G Slipkovich, PA 211 Fairview Rd, Ellenwood, GA 30294-2721 Ph: (770) 507-4554 | Mr Richard G Slipkovich, PA 211 Fairview Rd, Ellenwood, GA 30294-2721 Ph: (770) 507-4554 |
Samantha Holderfield, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2720 Quiktrip Way, Ellenwood, GA 30294 Phone: 470-582-5698 | |
Mrs. Natisha Latrise Roberson-dunn, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 195 Fairview Rd, Ellenwood, GA 30294 Phone: 770-507-0112 | |
Ja Na Monique Holyfield, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 211 Fairview Rd, Ellenwood, GA 30294 Phone: 678-289-6747 Fax: 678-289-6750 | |
Ms. Michelle M Williams, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4475 W Village Pkwy, Ellenwood, GA 30294 Phone: 770-507-7950 Fax: 716-710-8082 | |
Mrs. Alvina C Shannon, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4475 W Village Pkwy, Ellenwood, GA 30294 Phone: 770-507-7950 | |
Alvin Cephas, CST/CFA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 434 Midway Pt, Ellenwood, GA 30294 Phone: 770-985-4257 Fax: 770-985-4258 |