Provider Demographics
NPI:1194502880
Name:POPE, ANNA KATE (PA-S)
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:KATE
Last Name:POPE
Suffix:
Gender:F
Credentials:PA-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 THOMPSON DR
Mailing Address - Street 2:
Mailing Address - City:HAWKINSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31036-4639
Mailing Address - Country:US
Mailing Address - Phone:478-231-0017
Mailing Address - Fax:
Practice Address - Street 1:17 THOMPSON DR
Practice Address - Street 2:
Practice Address - City:HAWKINSVILLE
Practice Address - State:GA
Practice Address - Zip Code:31036-4639
Practice Address - Country:US
Practice Address - Phone:478-231-0017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-14
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant