# 84PEDIATRIX MEDICAL GROUP UNIVERSITY HOSPITAL AUGUSTA GA.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124062112
- **Authorized official:** MRS. JOAN DANIEL HARPER NNP (NEONATAL NURES PRACTITIONER)
- **Authorized official phone:** (706) 774-8948

## Contact information

- **Practice address:** 1350 WALTON WAY, AUGUSTA, GA 30901-2629
- **Practice address phone:** (706) 774-8948
- **Mailing address:** 4227 QUAIL SPRINGS CIR, MARTINEZ, GA 30907-4610
- **Mailing address phone:** (706) 863-4975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LN0000X | Neonatal Nurse Practitioner | RN042192 | GA | Yes |

## Other

- **Enumeration date:** 06/16/2006
- **Last updated:** 06/13/2008