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Individual

MR. TONY BEVILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.-C

Contact information

Practice address
152 JARRIELS BRIDGE RD, COLLINS, GA 30421-4806
(912) 684-3560
(912) 684-3615
Mailing address
152 JARRIELS BRIDGE RD, COLLINS, GA 30421-4806
(912) 684-3560
(912) 684-3615

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
363AM0700X
Medical Physician Assistant
Primary
003054
GA

Other

Enumeration date
08/23/2005
Last updated
07/19/2024
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