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Sera Gabrielle Story, PA-C
Medical Physician Assistant in Swainsboro, Georgia
NPI 1336637024

Sera Gabrielle Story is a Medical Physician Assistant based in Swainsboro, GA and is specialized in Medical. Sera Gabrielle Story practices in Swainsboro, GA and has the professional credentials of PA-C. The NPI Number for Sera Gabrielle Story is 1336637024 and holds a License No. 008762 (Georgia).

The current practice location address for Sera Gabrielle Story is 401 W Main St, Swainsboro, GA and can be reached out via phone at 478-237-9928.

Location: 401 W Main St, Swainsboro, GA, 30401-3110
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336637024
Provider Name
Sera Gabrielle Story
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
401 W Main St, Swainsboro, GA, 30401-3110
Phone Number
478-237-9928
Fax Number
Provider Enumeration Date
04/27/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
008762 01 GA GA PA LICENSE
003205741 05 GA
institution
Provider Business Practice Location Address Details
Address
401 W Main St
City
Swainsboro
State
Georgia
Zip
30401
Phone Number
478-237-9928
Fax Number
person
Provider Business Mailing Address Details
Address
401 W Main St
City
Swainsboro
State
Georgia
Zip
30401
Phone Number
478-237-9928
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
008762 (Georgia)
Definition
Definition to come...
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