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Individual

MS. ANGELA WARD CUBIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CSA

Contact information

Practice address
1265 HIGHWAY 54 W STE 103, FAYETTEVILLE, GA 30214-4537
(470) 514-5538
(470) 514-5561
Mailing address
PO BOX 301, ALPHARETTA, GA 30009-0301
(470) 514-5538
(470) 514-5561

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
863812372
N/A
GA
Enumeration date
02/14/2007
Last updated
02/12/2026
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