Patricia Jo Van Brunt, PA | |
159 W. Railroad Street, Pembroke, GA 31321-0190 | |
(912) 653-2897 | |
(912) 653-4299 |
Full Name | Patricia Jo Van Brunt |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Location | 159 W. Railroad Street, Pembroke, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235103326 | NPI | - | NPPES |
006037 | Other | GA | GEORGIA MEDICAL BOARD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AM0700X | Physician Assistant - Medical | MP00663 (New Jersey) | Secondary |
363A00000X | Physician Assistant | 6037 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Patricia Jo Van Brunt, PA 602 E. 72nd Street, Savannah, GA 31405-4913 Ph: (912) 819-7878 | Patricia Jo Van Brunt, PA 159 W. Railroad Street, Pembroke, GA 31321-0190 Ph: (912) 653-2897 |
Mr. Coy Watkins, MSPAS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 244 Ledford St 1188, Pembroke, GA 31321 Phone: 912-653-4357 |