Individual
JULIE OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2701 MEREDYTH DR, ALBANY, GA 31707-2267
(229) 883-7010
(229) 435-4022
Mailing address
2701 MEREDYTH DR, ALBANY, GA 31707-2267
(229) 883-7010
(229) 435-4022
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2200
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104591848A
—
GA
01
—
7648423
AETNA
GA
01
—
970030145
RR MCARE
GA
Enumeration date
08/31/2006
Last updated
12/20/2022
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