# AUGUSTA UNIVERSITY MEDICAL CENTER

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

## Provider details

- **NPI number:** 1124569843
- **Authorized official:** DR. AZEEM ABDUL MOHAMMED (MD)
- **Authorized official phone:** (917) 536-1243

## Contact information

- **Practice address:** 1120 15TH ST, AUGUSTA, GA 30912-0004
- **Practice address phone:** (706) 721-2861
- **Mailing address:** 162 FIOLI CIR, GRANITEVILLE, SC 29829-3986
- **Mailing address phone:** (917) 536-1243

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 0101254349 | VA | Yes |

## Other

- **Enumeration date:** 03/14/2017
- **Last updated:** 03/14/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1124258843 | — | NY |