Augusta Gyn, Obstetrics & Gynecology 2 LLC

NPI #1629108329 in Augusta, Georgia

Provider Information

NPI Number: 1629108329
Entity Type: Organization
Organization Name: Augusta Gyn, Obstetrics & Gynecology 2 LLC
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Mar 6, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1348 WALTON WAY
Address 2: SUITE 4100
City: Augusta
State: Georgia
ZIP Code: 30901-5104
Phone: (404) 943-0205

Authorized Official

Name: ALICIA HOLDEN, ACCOUNTING
Title: LEAD
Phone: (404) 943-0205

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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