Individual provider · Type 1 NPI

Larisa P. Gavrilova-Jordan, MD

Reproductive Endocrinology Physician · Augusta, GA

NPI number 1003895780 Active

Practice location

1120 15th St
Augusta, GA 30912-0004

Call (706) 724-6100 Map

Mailing address

1499 Walton Way, Suite 1400
Augusta, GA 30901-2603

Specialties and licenses

TaxonomyCodeLicense
Reproductive Endocrinology Physician Primary 207VE0102X70748 (GA)
Obstetrics & Gynecology Physician 207V00000X46727 (MN)
Obstetrics & Gynecology Physician 207V00000X2006-00745 (NC)

Reproductive Endocrinology Physician: An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.

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About NPI 1003895780

Larisa P. Gavrilova-Jordan, MD's National Provider Identifier is 1003895780, issued on Jan 11, 2006. The primary taxonomy on file is Reproductive Endocrinology Physician (207VE0102X), and the practice location is in Augusta, GA. The record was last updated on Jun 24, 2019.