University Primary Care

NPI #1124231808 in Augusta, Georgia

Provider Information

NPI Number
1124231808
Entity Type
Organization
Organization Name
University Primary Care
Primary Specialty
Internal Medicine
Enumeration Date
May 8, 2007
Last Updated
Aug 5, 2009

Practice Location

Address
820 SAINT SEBASTIAN WAY
Address 2
4C
State
Georgia
ZIP Code
30901-2643
Phone
(706) 774-5995

Authorized Official

Name
KRISTI I LEE, CMOM, CMIS
Title
PRACTICE MANAGER
Phone
(706) 774-5995

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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