Medical College Of Georgia in Augusta - Specialist
Medical College Of Georgia - NPI 1568543551
Medical College Of Georgia is a Specialist in Augusta, Georgia. Medical College Of Georgia practices all healthcare services and medical treatments related to Specialist. The NPI Number for Medical College Of Georgia is 1568543551. The last update date is 2020-08-22.
Medical College Of Georgia's current location address is 1120 15th St, Augusta, Georgia. You can contact this provider via phone number 7067212849. The mailing address for Medical College Of Georgia is 1120 15th St, Augusta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Medical College Of Georgia |
|---|---|
| Address | 1120 15th St, Augusta, Georgia |
| Phone Number | 7067212849 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF, PED |
|---|---|
| Authorized Official Name | Bertrand L Styles |
| Credentials | M.D. |
| Telephone Number | 7067212849 |
NPI Number Detail
| NPI Number | 1568543551 |
|---|---|
| Provider Enumeration Date | 2006-10-18 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1120 15th St |
|---|---|
| City | Augusta |
| State | Georgia (GA) |
| Post Code | 309120004 |
| Phone Number | 7067212849 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 25718 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00312485A | GA | -- | |
| G25718 | SC | -- |
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What is the Medical College Of Georgia's 1568543551?
The Medical College Of Georgia's NPI (National Provider Identifier) Number is 1568543551. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Medical College Of Georgia located?
The Medical College Of Georgia is located at 1120 15Th St, Augusta, GA 309120004.
What is Medical College Of Georgia's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Medical College Of Georgia's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1568543551 to Medical College Of Georgia?
The Medical College Of Georgia received its 1568543551 assignment from the Centers for Medicare & Medicaid Services on 2006-10-18.
When was the information related to Medical College Of Georgia most recently updated or refreshed?
The details pertaining to the Medical College Of Georgia, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.