NPI 1194555300

Jacob Wayne Usher

Practitioner Anesthesiologist Assistant Athens, GA

Practice location

Address: 1199 Prince Ave, Athens, GA 30606-2797
Phone: (706) 475-7643
Mailing address: 109 Garden CT, Warner Robins, GA 31088-6151

Registered specialties

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X

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Registry record

NPI: 1194555300
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Aug 2024
Record last updated: 2 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.