Kirkley, Archie Thomas

Kirkley, Archie Thomas is an individual health care provider with primary practice located at 125 Church St , Vidalia GA 30474-4770. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Kirkley, Archie Thomas can be contacted via phone (912) 538-8484.

Contact Information

Primary practice address
125 Church St Vidalia GA 30474-4770
Phone: (912) 538-8484
Fax: (912) 538-8665
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 7567 Georgia

Profile Details

NPI number 1427436393
LBN Legal business name Kirkley, Archie Thomas
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2015
Last updated Apr 9th, 2021 - 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 1427436393 NPPES
Georgia Other 007567 GEORGIA COMPOSITE MEDICAL BOARD

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