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Contact Information

JONELL B POE, PA
1120 15TH STREET
AUGUSTA, GA30912
 Phone: 706-721-2198
 Fax: 706-721-5748
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JONELL B POE · (Female)

NPI Number 1417057977
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 09/25/2006
Last updated 11/15/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 003209
  • GA License # 3209
  • GA Medicaid 100001728A
  • SC Medicaid 0112PA
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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