Larisa P Gavrilova-jordan M.D.

NPI 1003895780 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1003895780
Gender Female
Enumeration Date 01/11/2006
Last Updated 09/19/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
1120 15TH ST
AUGUSTA GA, 30912-0004, US
Phone (706) 724-6100
Business Location
SUITE 1400
AUGUSTA GA, 30901-2603, US
Phone (706) 724-6100
Taxonomy Code 207V00000X
License State Minnesota
License Number 46727
Remove 1003895780 NPI Number

According to our database, Dr. Larisa P Gavrilova-jordan M.D. NPI is 1003895780, taxonomy code is 207V00000X and license number is 46727, license state is located at Minnesota. Larisa P Gavrilova-jordan M.D. physically located at 1120 15th St, Augusta GA, 30912-0004. NPI Number Larisa P Gavrilova-jordan M.D. has the Individual type.

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1003895780 NPI number is provided on an as is basis without warranty of any kind. 1003895780 is maintained by the National Plan & Provider Enumeration System. The contents of Larisa P Gavrilova-jordan M.D. are for informational purposes only.