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1114026242
LUIS A. ORTIZ
AUGUSTA, GA
NPI
1114026242
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0210X Pediatrics Pediatric Nephrology
(Licence: GA 051260)
Enumeration Date
2006-09-22
Last Update Date
2012-11-30
Business Address
LUIS A. ORTIZ MD
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-0177
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Mailing Address
LUIS A. ORTIZ MD
1499 WALTON WAY STE 1400
AUGUSTA, GA 30901-2650
Phone number: 706-828-6410
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