Individual
TREASURE F POPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
839 HOGAN RD, SUMNER, GA 31789-4717
(229) 392-1608
Mailing address
839 HOGAN RD, SUMNER, GA 31789-4717
(229) 392-1608
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002756
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002472A
—
GA
05
—
100002472B
—
GA
05
—
100002472C
—
GA
Enumeration date
04/10/2006
Last updated
02/07/2024
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