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NPI Code Detail

MEDICARE: FRANCES LOCKWOOD PA

MEDICARE: FRANCES LOCKWOOD PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant007160GA
2363A00000XPhysician Assistant7160GA

General Provider Information

NPI Number : 1245650498
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANCES LOCKWOOD PA
Provider Business Mailing Address
First Line : PO BOX 925
Second Line :
City : AUGUSTA
State : GA
Zip : 30903-0925
Country : US
Telephone Number : 706-724-8611
Fax Number : 706-724-6202
Provider Business Practice Location Address
First Line : 1348 WALTON WAY STE 5100
Second Line :
City : AUGUSTA
State : GA
Zip : 30901-5108
Country : US
Telephone Number : 706-724-8611
Fax Number : 706-724-6202
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2014
Last Update Date : 03/18/2020

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Directions to “ FRANCES LOCKWOOD PA” Practice Location

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