Most Relevant Information
Provider Data
| NPI Number: | 1003484759 |
| Provider Name: | TESSA SPRAGUE PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/17/2021 |
| Last Updated: | 08/07/2023 |
Provider Practice Location
512 S MAIN ST STE A
HINESVILLE
GA
313134344
Practice Location Phone/Fax
| Phone: | 9123695437 |
| Fax: |
Provider Mailing Location
512 S MAIN ST STE A
HINESVILLE
GA
313134344
Provider Mailing Phone/Fax
| Phone: | 9123695437 |
| Fax: |