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Contact Information

JEAN E LARSON, PA C
2405 OSLER CT
MEREDYTH PROFESSIONAL PLAZA
ALBANY, GA31707
 Phone: 229-435-1458
 Fax: 229-317-2342
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JEAN E LARSON · (Female)

NPI Number 1295836732
Status Active
Credentials PA C
Entity Individual
Enumeration date 09/26/2006
Last updated 11/04/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • GA License # GA4044
  • GA Medicaid 671629810B
Hospital affiliation(s) Not Available
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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