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Search › Georgia › 363A00000X

Ethan Irvin, PHYSICIAN ASSISTANT

NPI 1538834619 · on the registry since 2021 · sole proprietor

Practice

Address
655 7th St Bldg 700
Robins Afb, GA 31098
Phone
(478) 497-7569
Organisation at this address
78th Medgrp-Robins
78th Medgrp-Robins
Linda Munro Psy D Pa
78 Mdg Robins Afb, Ga
Inferred from a shared address, not stated in the registry.
Clinicians at this address
128

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
171000000X
Sex
Male
Record last updated
2023-07-28

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