Individual provider · Type 1 NPI

Star Groves

Student in an Organized Health Care Education/Training Program · Augusta, GA

NPI number 1679453997 Active

Practice location

2826 Hillcreek Dr
Augusta, GA 30909-5628

Call (706) 210-2767 Map

Mailing address

2500 Walton Way # UH325
Augusta, GA 30904-4562

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1679453997

Star Groves's National Provider Identifier is 1679453997, issued on Sep 5, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Augusta, GA. The record was last updated on Sep 5, 2025.