KOLYSE WAGSTAFF CAVER

AUGUSTA, GA
NPI1891338703
Former NameKOLYSE ELIZA WAGSTAFF
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  9521)
Enumeration Date2019-10-23
Last Update Date2021-04-30
Business Address
KOLYSE WAGSTAFF CAVER PA-C
1210 ROY RD
AUGUSTA, GA 30909-1812
Phone number: 706-860-6515
Mailing Address
KOLYSE WAGSTAFF CAVER PA-C
1210 ROY RD
AUGUSTA, GA 30909-1812
Phone number: 706-860-6515
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