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FRESENIUS VASCULAR CARE AUGUSTA LLC NPI 1134412331


NPI Information

NPI: 1134412331
Provider Name: FRESENIUS VASCULAR CARE AUGUSTA, LLC
Classification: Radiology - 2085R0204X
Entity Type: Organization

Specialization: Vascular & Interventional Radiology

CLIA Number: 11D1056330

Address:
630 13TH ST
SUITE 250
AUGUSTA, GA
ZIP 30901
Phone: (706) 724-2500
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FRESENIUS VASCULAR CARE AUGUSTA, LLC is a vascular and interventional radiology radiology in Augusta, GA. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. FRESENIUS VASCULAR CARE AUGUSTA, LLC NPI is 1134412331. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

630 13TH ST
SUITE 250
AUGUSTA, GA
ZIP 30901-015
Phone: (706) 724-2500
Fax: (706) 731-5289

The provider's authorized official is Gregg Miller .
The authorized official title is Senior Vp Operations and has the following contact phone number (610) 644-8900.

The CLIA number assigned to this NPI record is 11D1056330 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/20/2011 and was last updated on 6/17/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0204XRadiologyVascular & Interventional RadiologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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