AUGUSTA UROLOGY ASSOCIATES LLC NPI 1366511834

NPI Information

AUGUSTA UROLOGY ASSOCIATES, 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 UROLOGY ASSOCIATES, LLC NPI is 1366511834. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

818 SAINT SEBASTIAN WAY
PROFESSIONAL BLDG. 2, SUITE 403
AUGUSTA, GA
ZIP 30901-651
Phone: (706) 722-0705
Fax: (706) 312-3026

The provider's authorized official is Anissa Cooper .
The authorized official title is Administrator and has the following contact phone number (706) 722-0705.

The CLIA number assigned to this NPI record is 11D0877050 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/7/2006 and was last updated on 6/21/2021.

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:

Other Identifiers

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