Individual
PATRICIA P INGOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
610 19TH ST, COLUMBUS, GA 31901-1528
(706) 322-7884
(706) 243-4356
Mailing address
2300 MANCHESTER EXPY STE 2001A, COLUMBUS, GA 31904-6802
(706) 320-3126
(706) 320-3054
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
004546
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003144470B
—
GA
05
—
170238
—
AL
Enumeration date
08/01/2006
Last updated
08/01/2024
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