Organization · Type 2 NPI
Augusta University Medical Center
Critical Care Medicine Nurse Practitioner · Augusta, GA
NPI number
1700556867
Active
Practice location
1120 15th St
Augusta, GA 30912-0004
Mailing address
4300 Riverwatch Pkwy, Apt 903
Martinez, GA 30907
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Nurse Practitioner Primary | 363LC0200X | None listed |
Critical Care Medicine Nurse Practitioner: Definition to come...
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About NPI 1700556867
Augusta University Medical Center's National Provider Identifier is 1700556867, issued on Sep 20, 2021. The primary taxonomy on file is Critical Care Medicine Nurse Practitioner (363LC0200X), and the practice location is in Augusta, GA. The record was last updated on Sep 20, 2021.