Augusta Specialty Hospitalists Llc

NPI 1164711297 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1164711297
Enumeration Date 03/29/2011
Last Updated 03/29/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name MICKEY MICKEY
Position VP
Phone (706) 855-0422
Fax (706) 855-0495
Practice Location
3623 J DEWEY GRAY CIR
SUITE 113
AUGUSTA GA, 30909-6511, US
Phone (706) 855-0422
Fax (706) 855-0495
Business Location
3623 J DEWEY GRAY CIR
SUITE 113
AUGUSTA GA, 30909-6511, US
Phone (706) 855-0422
Fax (706) 855-0495
Toxanomy
Taxonomy Code 2084N0400X
License State
License Number
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According to our database, Augusta Specialty Hospitalists Llc NPI is 1164711297, taxonomy code is 2084N0400X Augusta Specialty Hospitalists Llc physically located at 3623 J Dewey Gray Cir, Augusta GA, 30909-6511. NPI Number 1033115704 has the healthcare provider type.

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1164711297 NPI number is provided on an as is basis without warranty of any kind. 1164711297 is maintained by the National Plan & Provider Enumeration System. The contents of Augusta Specialty Hospitalists Llc are for informational purposes only.