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Individual
MR. ALTON K. DINKINS
Active
Individual
MR. ALTON K. DINKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3749
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100001691B
PEACH STATE HEALTH PLAN
GA
05
—
100001691B
—
GA
01
—
336104
WELLCARE
GA
01
—
800791
BLUE SHIELD
GA
Enumeration date
04/10/2006
Last updated
03/23/2010
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