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AUGUSTA PRIMARY CARE SERVICES LLC NPI 1225225014


NPI Information

NPI: 1225225014
Provider Name: AUGUSTA PRIMARY CARE SERVICES, LLC

Doing Business As: AUGUSTA HEALTH SPEC-UROLOGY

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
3623 J DEWEY GRAY CIR
SUITE 210
AUGUSTA, GA
ZIP 30909
Phone: (706) 922-7670
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AUGUSTA PRIMARY CARE SERVICES, LLC is a specialist in Augusta, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. AUGUSTA PRIMARY CARE SERVICES, LLC NPI is 1225225014. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Augusta Health Spec-urology.

The provider's business location address is:

3623 J DEWEY GRAY CIR
SUITE 210
AUGUSTA, GA
ZIP 30909-511
Phone: (706) 922-7670
Fax: (706) 922-7680

The provider's authorized official is Prakash Maniam .
The authorized official title is Provider and has the following contact phone number (706) 922-7670.

The enumeration date for this NPI number is 9/26/2007 and was last updated on 6/25/2013.


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
1174400000XSpecialist27620SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18708MEDICARE PINSOUTH CAROLINA

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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