NPI | 1801825104 |
---|---|
Former Legal Business Name | AUGUSTA GYN. P.C. |
Entity Type | Organization |
Authorized Contact | MICHAEL DUCKWORTH Office Administrator 706-722-1381 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 207V00000X) |
Enumeration Date | 2006-07-01 |
Last Update Date | 2016-06-08 |