Centerwell Senior Primary Care Ga PC

NPI #1861209363 in Augusta, Georgia

Provider Information

NPI Number: 1861209363
Entity Type: Organization
Organization Name: Centerwell Senior Primary Care Ga PC
Subpart: Yes (part of a larger organization)
Parent Organization: CENTERWELL SENIOR PRIMARY CARE GA PC
Primary Specialty: Internal Medicine
Enumeration Date: Dec 17, 2024
Last Updated: Dec 17, 2024

Practice Location

Address: 3435 WRIGHTSBORO RD STE 1202
City: Augusta
State: Georgia
ZIP Code: 30909-2519
Phone: (706) 445-2349

Authorized Official

Name: ANGIE MARTINEZ
Title: SENIOR CREDENTIALING PROFESSIONAL
Phone: (407) 447-7120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
General Practice	208D00000X
Internal Medicine	207R00000X	Primary

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