Stanley A Agbulos, PA-C, AA-C - Physician Assistant in Waycross, GA

Stanley A Agbulos, PA-C, AA-C is a Physician Assistant based in Waycross, Georgia. Stanley A Agbulos is licensed to practice in Georgia (license number 005073) and his current practice location is 410 Darling Ave, Waycross, Georgia. He can be reached at his office (for appointments etc.) via phone at (912) 338-6511.

NPI number for Stanley A Agbulos is 1861477648 and his current mailing address is Po Box 18824, Greensboro, North Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861477648.

Contact Information

Stanley A Agbulos, PA-C, AA-C
410 Darling Ave,
Waycross, GA 31501-5246
(912) 338-6511
(912) 338-6512



Provider's Profile

Full NameStanley A Agbulos
GenderMale
SpecialityPhysician Assistant
Location410 Darling Ave, Waycross, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1861477648
  • Provider Enumeration Date: 12/14/2005
  • Last Update Date: 02/28/2011

Medical Identifiers

Medical identifiers for Stanley A Agbulos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861477648NPI-NPPES
259983019AMedicaidGA
P00410142OtherGARRB
PA16336MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA16336 (California)Secondary
363A00000XPhysician Assistant 005073 (Georgia)Primary
367H00000XAnesthesiologist Assistant 005073 (Georgia)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stanley A Agbulos is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stanley A Agbulos, PA-C, AA-C
Po Box 18824,
Greensboro, NC 27419-8824

Ph: (336) 553-1659
Stanley A Agbulos, PA-C, AA-C
410 Darling Ave,
Waycross, GA 31501-5246

Ph: (912) 338-6511

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› Verified 8 days ago


Physician Assistant Nurses in Waycross, GA

Tayler Hutto Allen, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2005 Pioneer St, Waycross, GA 31501
Phone: 912-490-7777    Fax: 912-490-7779
Ricky O Tatum, PAC
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1007 Mary St, Waycross, GA 31503
Phone: 912-449-8601    Fax: 912-449-7060
Kimberly Cecil, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1218 Alice St, Waycross, GA 31501
Phone: 912-590-0973    Fax: 912-590-0180
Laken Renee Tanner, MSPAP, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1900 Tebeau St, Waycross, GA 31501
Phone: 912-283-3030    
Mrs. Hannah Carter Horner, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 218 Quarterman St, Waycross, GA 31501
Phone: 912-287-0301    Fax: 912-287-1568
John Franklin Jacobs, PHYSICIAN ASSISTANT
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 410 Darling Ave, Waycross, GA 31501
Phone: 912-287-2744    Fax: 912-338-6538
Amanda S Smith, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 700 Riverside Ave, Waycross, GA 31501
Phone: 912-490-8546    Fax: 877-221-0052

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