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1871602912
DIANE S BAIRAS
AUGUSTA, GA
NPI
1871602912
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: GA 001876)
Enumeration Date
2006-08-30
Last Update Date
2019-05-15
Business Address
DIANE S BAIRAS PA
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-3941
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Mailing Address
DIANE S BAIRAS PA
1120 15TH ST STE BI1056
AUGUSTA, GA 30912-0004
Phone number: 706-721-3813
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