| NPI | 1225225014 |
|---|---|
| Doing Business As | AUGUSTA HEALTH SPEC-UROLOGY |
| Entity Type | Organization |
| Authorized Contact | PRAKASH MANIAM Provider 706-922-7670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: SC 27620) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2013-06-25 |