Augusta Hypertention, P.c.

NPI 1003952193 - Internal Medicine - 207R00000X

NPI Details
NPI 1003952193
Enumeration Date 01/29/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name WAYNE H WAYNE
Position OWNER
Phone (706) 722-4688
Fax (706) 722-8194
Practice Location
1021 15TH ST STE 2
BIO TECH PARK
AUGUSTA GA, 30901-3112, US
Phone (706) 722-4688
Fax (706) 722-8194
Business Location
PO BOX 3545
AUGUSTA GA, 30914-3545, US
Phone (706) 868-0131
Fax (706) 854-0131
Toxanomy
Taxonomy Code 207R00000X
License State Georgia
License Number 022800
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According to our database, Augusta Hypertention, P.c. NPI is 1003952193, taxonomy code is 207R00000X and license number is 022800, license state is located at Georgia. Augusta Hypertention, P.c. physically located at 1021 15th St Ste 2, Augusta GA, 30901-3112. NPI Number 1033115704 has the healthcare provider type.

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1003952193 NPI number is provided on an as is basis without warranty of any kind. 1003952193 is maintained by the National Plan & Provider Enumeration System. The contents of Augusta Hypertention, P.c. are for informational purposes only.