SearchGeorgia363A00000X

Micah Lancaster, PA-C

NPI 1285917401 · on the registry since 2011

Practice

Address
1111 Glynco Pkwy
Building 1, Suite 20
Brunswick, GA 31525
Phone
(912) 262-1801
Fax
(912) 264-6262
Organisation at this address
Applecare Llc
Brunswick Medical Llc
Costrini & Meadows Pc
Optim Orthopedics, Llc
Surf And Sand Pediatrics
Inferred from a shared address, not stated in the registry.
Clinicians at this address
31

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363AM0700X
363AS0400X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-03-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia