Peggy A Lampkin, PA
Individual provider Active NPI Medical Physician Assistant · Louisville, GA
NPI 1104010313 · NPPES record last updated Aug 30, 2007
Key facts
- NPI
- 1104010313
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 004982 (GA)
- Practice address
- 809 Peachtree St
Louisville, GA 30434-1449 - Phone
- (478) 625-7597
- NPI assigned
- Aug 30, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004982 | GA | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 004982 | GA | Yes |
Addresses
Primary practice location
809 Peachtree St
Louisville, GA 30434-1449
Mailing address
809 Peachtree St
Louisville, GA 30434-1449
Phone (478) 625-7597
Other providers in Louisville, GA
- Jefferson County Board of Health
- Jefferson County Boe
- Shirlee T. Johnson
- Bobbie W. Jones
- Karen Butler, MD, LLC
- Daja Andrea Lane
- Louisville Dialysis Clinic LLC
- Louisville Dialysis Clinic-Peachtree LLC
- Louisville Drug Company
- Gloria E. Machalk
All providers in Louisville, GA · Medical Physician Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.