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AUGUSTA FAMILY MEDICAL SERVICE NPI 1619279544


NPI Information

NPI: 1619279544
Provider Name: AUGUSTA FAMILY MEDICAL SERVICE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1500 JOHNS RD
SUITE # 2
AUGUSTA, GA
ZIP 30904
Phone: (706) 736-3688
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AUGUSTA FAMILY MEDICAL SERVICE is a family medicine in Augusta, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. AUGUSTA FAMILY MEDICAL SERVICE NPI is 1619279544. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1500 JOHNS RD
SUITE # 2
AUGUSTA, GA
ZIP 30904-888
Phone: (706) 736-3688
Fax: (706) 736-3628

The provider's authorized official is Abebe Kassahun .
The authorized official title is Owner and has the following contact phone number (706) 736-3688.

The enumeration date for this NPI number is 11/29/2010 and was last updated on 11/29/2010.


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
1207Q00000XFamily Medicine063248GEORGIAYes

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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