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Individual

MR. ALTON K. DINKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1 DOCTORS PARK, CAIRO, GA 39828-3072
(229) 378-8110
(229) 378-8109
Mailing address
1 DOCTORS PARK, CAIRO, GA 39828-3072
(229) 378-8110
(229) 378-8109

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3749
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100001691B
PEACH STATE HEALTH PLAN
GA
05
100001691B
GA
01
336104
WELLCARE
GA
01
800791
BLUE SHIELD
GA
Enumeration date
04/10/2006
Last updated
03/23/2010
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