MS. ANGELA WARD CUBIN CSA - NPI 1073656732 - Physician Assistant in Fayetteville, GA

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

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About Ms. Angela Ward Cubin Csa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. ANGELA WARD CUBIN CSA (NPI 1073656732) is an individual surgical provider in Fayetteville, Georgia and active in the NPI registry since February 2007. She maintains a secondary practice location in Milton.

NPPES Registry Identity

NPI1073656732

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMS. ANGELA WARD CUBINCredential: CSA

Location Address1265 HIGHWAY 54 W STE 103Fayetteville, GA 30214-4537

Mailing AddressPo Box 301Alpharetta, GA 30009-0301 · (470) 514-5538 · Fax (470) 514-5561

Phone(470) 514-5538

Fax(470) 514-5561

Sole ProprietorNo

Enumeration DateFebruary 14, 2007

Last NPPES UpdateFebruary 12, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 26, 2022

✔ NPI 1073656732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

1265 HIGHWAY 54 W STE 103, Fayetteville, GA 30214

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Secondary Practice Location 1

Location 13520 Muirfield DrMilton, GA 30004-4492 · Phone (470) 514-5538

Other Identifiers 1

Other863812372GA · N/a

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ORTHO ATLANTA SURGERY CENTER OF FAYETTEVILLE

Clinic/Center (Ambulatory Surgical)