| Stanley A Agbulos, PA-C, AA-C | |
|
410 Darling Ave, Waycross, GA 31501-5246 | |
| (912) 338-6511 | |
| (912) 338-6512 |
| Full Name | Stanley A Agbulos |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 410 Darling Ave, Waycross, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861477648 | NPI | - | NPPES |
| 259983019A | Medicaid | GA | |
| P00410142 | Other | GA | RRB |
| PA16336 | Medicaid | CA |
| Mailing Address | Practice Location Address |
|---|---|
| Stanley A Agbulos, PA-C, AA-C Po Box 18824, Greensboro, NC 27419-8824 Ph: (336) 553-1659 | Stanley A Agbulos, PA-C, AA-C 410 Darling Ave, Waycross, GA 31501-5246 Ph: (912) 338-6511 |
Tayler Hutto Allen, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2005 Pioneer St, Waycross, GA 31501 Phone: 912-490-7777 Fax: 912-490-7779 | |
Ricky O Tatum, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 1007 Mary St, Waycross, GA 31503 Phone: 912-449-8601 Fax: 912-449-7060 | |
Kimberly Cecil, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1218 Alice St, Waycross, GA 31501 Phone: 912-590-0973 Fax: 912-590-0180 | |
Laken Renee Tanner, MSPAP, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1900 Tebeau St, Waycross, GA 31501 Phone: 912-283-3030 | |
John Franklin Jacobs, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 410 Darling Ave, Waycross, GA 31501 Phone: 912-287-2744 Fax: 912-338-6538 | |
Amanda S Smith, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 700 Riverside Ave, Waycross, GA 31501 Phone: 912-490-8546 Fax: 877-221-0052 | |
Mr. Jonathan S Dial, P.A. Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1900 Tebeau St, Waycross, GA 31501 Phone: 912-338-6368 Fax: 912-338-7113 |