Individual
REBECCA ANNE IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2500 STARLING STREET, SUITE 303, BRUNSWICK, GA 31520-4265
(912) 466-5303
(912) 261-4741
Mailing address
2500 STARLING STREET, SUITE 303, BRUNSWICK, GA 31520-4265
(912) 466-5303
(912) 261-4741
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002355
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431824101A
—
GA
Enumeration date
03/08/2006
Last updated
07/24/2012
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