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Contact Information

SERA G STORY, PA-C
401 W MAIN ST
SWAINSBORO, GA30401
 Phone: 478-237-9928
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for SERA G STORY · (Female)

NPI # 1336637024
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 04/27/2018
Last updated 12/19/2023 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 008762
  • GA Medicaid 003205741
  • GA Other 008762 GA PA LICENSE
Hospital affiliation(s)
  • EMANUEL MEDICAL CENTER - (Acute Care)
    117 KITE ROAD
    SWAINSBORO, GA 30401
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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