Individual
MANDY PEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5674
(912) 435-6965
Mailing address
1650 COCHRANE CIR BLDG 7505, FORT CARSON, CO 80913-4604
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1125506
GA
Other
Enumeration date
06/16/2015
Last updated
04/11/2018
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