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1194835280
EAST GEORGIA INTERNAL MEDICINE ,LLC
AUGUSTA, GA
NPI
1194835280
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Entity Type
Organization
Authorized Contact
OLADAPO O FAWIBE
Director
706-736-4154
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2006-08-30
Last Update Date
2020-08-22
Business Address
EAST GEORGIA INTERNAL MEDICINE ,LLC
811 13TH ST SUITE 11
AUGUSTA, GA 30901-2700
Phone number: 706-736-4154
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Mailing Address
EAST GEORGIA INTERNAL MEDICINE ,LLC
PO BOX 3407
AUGUSTA, GA 30914-3407
Phone number: 706-736-4154
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