Cubin, Angela Ward

Cubin, Angela Ward is an individual health care provider with primary practice located at 1265 Highway 54 W Ste 103 , Fayetteville GA 30214-4537. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Cubin, Angela Ward can be contacted via phone (470) 514-5538.

Contact Information

Primary practice address
1265 Highway 54 W Ste 103 Fayetteville GA 30214-4537
Phone: (470) 514-5538
Fax: (470) 514-5561
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1073656732
LBN Legal business name Cubin, Angela Ward
Credentials CSA
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2007
Last updated Jan 26th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073656732 NPPES
Georgia Other 863812372 N/A

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