Individual
ANTHONY J PALAZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3650 J DEWEY GRAY CIR, AUGUSTA, GA 30909-1867
(706) 863-9797
(706) 860-7686
Mailing address
PO BOX 14039, AUGUSTA, GA 30919-0039
(706) 863-9797
(706) 860-7686
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003708
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100000220C
—
GA
01
—
P00398077
RAILROAD MEDICARE
GA
Enumeration date
07/28/2006
Last updated
07/22/2015
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