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Individual

MRS. TAMMI B PAVEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2050 WALTON WAY, AUGUSTA, GA 30904-2305
(706) 434-1590
(706) 434-1346
Mailing address
2050 WALTON WAY STE 201, AUGUSTA, GA 30904-4163
(706) 267-0793
(706) 434-1346

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
3053
GA
363A00000X
Physician Assistant
Primary
003053
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3053
GEORGIA LICENSE
GA
Enumeration date
06/28/2007
Last updated
04/03/2024
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