Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stanley A Agbulos, PA-C, AA-C

Individual provider Physician Assistant · NPI 1861477648

Stanley A Agbulos, PA-C, AA-C is a Physician Assistant in Waycross, Georgia. Licensed in California and Georgia. Registered with an NPI since 2005.

Licensed in
CA, GA
In the registry since
2005
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

410 Darling Ave
Waycross, GA 31501-5246
Phone: (912) 338-6511
Fax: (912) 338-6512
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 005073 (GA)
Physician Assistant Taxonomy 363A00000X · Licence PA16336 (CA)
Anesthesiologist Assistant Taxonomy 367H00000X · Licence 005073 (GA)

Record details

NPI number1861477648
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , AA-C
Sole proprietorNo
NPI enumeratedDecember 14, 2005
Last updated in NPPESFebruary 28, 2011

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