| Ryan Plowman, | |
|
101 Saint Josephs Candler Dr Ste 100, Pooler, GA 31322-9587 | |
| (912) 737-2250 | |
| (912) 737-2257 |
| Full Name | Ryan Plowman |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 101 Saint Josephs Candler Dr Ste 100, Pooler, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144635103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | MA056690 (Pennsylvania) | Secondary |
| 363A00000X | Physician Assistant | 10182 (Georgia) | Primary |
| Entity Name | St Josephs Candler Urgent Care Centers LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922580133 PECOS PAC ID: 5092058016 Enrollment ID: O20190515000494 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Plowman, 101 Saint Josephs Candler Dr Ste 100, Pooler, GA 31322-9587 Ph: Not Available | Ryan Plowman, 101 Saint Josephs Candler Dr Ste 100, Pooler, GA 31322-9587 Ph: (912) 737-2250 |
Taylor Louise Bargeloh, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2321 Pooler Pkwy Ste 107, Pooler, GA 31322 Phone: 912-303-7149 |
Alivia Mcmahan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6 Holmes Ct Ste 100, Pooler, GA 31322 Phone: 912-254-4401 Fax: 912-330-4319 |
Mallory Irene Chiang, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Blue Moon Xing Ste 203, Pooler, GA 31322 Phone: 912-590-0973 Fax: 912-590-0180 |
Christopher Robin Alden, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 101 Saint Josephs Candler Dr Ste 100, Pooler, GA 31322 Phone: 912-737-2250 Fax: 912-355-6914 |
Grant Westbrook, Physician Assistant Medicare: Medicare Enrolled Practice Location: 105 Grand Central Blvd Ste 108, Pooler, GA 31322 Phone: 912-748-1515 |
Mr. Daniel Luis Orsini, SFIDC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 105 Grand Central Blvd Ste 108, Pooler, GA 31322 Phone: 912-748-1515 |
Helen Dawn Seymour, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5 Stillwater Ct, Pooler, GA 31322 Phone: 912-506-6766 |