Individual
ALVIN CEPHAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CST/CFA
Contact information
Practice address
434 MIDWAY PT, ELLENWOOD, GA 30294-2980
(770) 985-4257
(770) 985-4258
Mailing address
434 MIDWAY PT, ELLENWOOD, GA 30294-2980
(770) 985-4257
(770) 985-4258
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
88683
GA
Other
Enumeration date
10/18/2007
Last updated
10/18/2007
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