person
Mrs. Georgia Ann Womble, PA-C
Medical Physician Assistant in Canton, Texas
NPI 1649596867

Georgia Ann Womble is a Medical Physician Assistant based in Dallas, TX and is specialized in Medical. Georgia Ann Womble practices in Canton, TX and has the professional credentials of PA-C. The NPI Number for Georgia Ann Womble is 1649596867 and holds a License No. PA06694 (Texas).

The current practice location address for Georgia Ann Womble is 18780 Interstate 20, Canton, TX and can be reached out via phone at 903-567-4841.

Location: 18780 Interstate 20, Canton, TX, 75284-6098
person
Provider Profile Details
NPI Number
1649596867
Provider Name
Georgia Ann Womble
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
18780 Interstate 20, Canton, TX, 75284-6098
Phone Number
903-567-4841
Fax Number
Provider Enumeration Date
04/13/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
75-2616977-001 01 TX TRICARE
351539702 05 TX
8334NZ 01 TX BCBS
P01787495 01 TX RAIL ROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
18780 Interstate 20
City
State
Zip
75103-3593
Phone Number
903-567-4841
Fax Number
person
Provider Business Mailing Address Details
Address
18780 Interstate 20
City
State
Zip
75103-3593
Phone Number
903-567-4841
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA06694 (Texas)
Definition
Definition to come...
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