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Individual

MISS TIMBER WAGES MUNOZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3515 RICHLAND AVE, AIKEN, SC 29801-6311
(803) 642-2626
(803) 642-2960
Mailing address
2727 PACES FERRY RD SE STE 1-1100, ATLANTA, GA 30339-6151
(706) 854-6008
(706) 774-7230

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
006964
GA
363AM0700X
Medical Physician Assistant
PA2149
SC

Other

Enumeration date
09/07/2013
Last updated
03/28/2024
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