Augusta Ent PC

NPI #1043377005 in Thomson, Georgia

Provider Information

NPI Number: 1043377005
Entity Type: Organization
Organization Name: Augusta Ent PC
Primary Specialty: Specialist
Enumeration Date: Jan 2, 2007
Last Updated: May 14, 2008

Practice Location

Address: 315 FLUKER ST
City: Thomson
State: Georgia
ZIP Code: 30824-2108
Phone: (706) 868-5676

Authorized Official

Name: MRS. JAMMIE LEE SPARKS, CPC
Title: BILLING SUPERVISOR
Phone: (706) 868-5676

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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