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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STANLEY A AGBULOS, PA-C, AA-C

Active

STANLEY A AGBULOS, PA-C, AA-C is a Physician Assistant healthcare provider located in WAYCROSS, Georgia. NPI 1861477648 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · WAYCROSS, GA

Registration Details

NPI Number
1861477648
Provider Type
Individual
Gender
Male
NPI Issued
Dec 14, 2005 (20.654509180315 yrs)
Last Updated
Feb 28, 2011
Licenses
PA16336 (CA)
005073 (GA)
005073 (GA)

Practice Information

Address
410 DARLING AVE
WAYCROSS, GA, 315015246
Browse GA providers · Browse ZIP 31501
Phone
9123386511
Fax
9123386512
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
Additional Specialty
Anesthesiologist Assistant

Other Physician Assistant Providers in WAYCROSS, GA

Name Credential NPI
DAVID A RIOS PA 1265406334
MR. WILLIAM STEPHEN HUTCHESON PA-C 1629283023
RICKY O TATUM PAC 1073837555
CHARLES W. KLEIN III PA-C 1700105194
MR. DAVID ROBERT GILL MSHS, PA 1952743932
MARGARET BISHOP 1699179663
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.