Individual
MARILYN S PALCIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
17007 HIGHWAY 67, STATESBORO, GA 30458-2426
(912) 681-2500
(912) 681-2025
Mailing address
3466 BOWEN RD, CLAXTON, GA 30417-3468
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001006107
NC
363A00000X
Physician Assistant
Primary
006894
GA
363AS0400X
Surgical Physician Assistant
006894
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003136938A
—
GA
05
—
1682PA
—
SC
01
—
P01224099
RAILROAD MEDICARE
GA
Enumeration date
04/26/2006
Last updated
10/16/2025
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