| NPI | 1114574126 |
|---|---|
| Doing Business As | AUGUSTA UNIVERSITY HEALTH WEST WHEELER |
| Entity Type | Organization |
| Authorized Contact | CONNIE THOMPSON Supervisor 706-721-5505 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 222Z00000X Orthotist |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2019-10-17 |