Individual
MARY ANN SCRAPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
840 STEVENS CREEK RD, AUGUSTA, GA 30907
(706) 774-5795
(706) 774-5792
Mailing address
PO BOX 1705, AUGUSTA, GA 30903-1705
(706) 774-5795
(709) 774-5792
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004577
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0346PA
—
SC
05
—
304420761A
—
GA
Enumeration date
08/31/2006
Last updated
12/17/2018
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