WRIGHTSBORO MEDICAL CENTER NPI 1306029434

NPI Information

WRIGHTSBORO MEDICAL CENTER is a primary care clinic center in Augusta, GA. WRIGHTSBORO MEDICAL CENTER NPI is 1306029434. The provider is registered as an organization entity type.

The provider's business location address is:

3207 WRIGHTSBORO RD
AUGUSTA, GA
ZIP 30909-941
Phone: (706) 737-0183
Fax: (706) 737-7915

The provider's authorized official is Richard Robinson .
The authorized official title is Office Manager and has the following contact phone number (706) 667-0866.

The CLIA number assigned to this NPI record is 11D0695994 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/12/2007 and was last updated on 12/12/2007.

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:

Other Identifiers

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

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