Individual
JONELL B. POE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1120 15TH STREET, AUGUSTA, GA 30912
(706) 721-2198
(706) 721-5748
Mailing address
1499 WALTON WAY, STE 1400, AUGUSTA, GA 30901-2650
(706) 828-6410
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3209
GA
363AS0400X
Surgical Physician Assistant
003209
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112PA
—
SC
05
—
100001728A
—
GA
Enumeration date
09/25/2006
Last updated
11/15/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us