# AUGUSTA MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AUGUSTA HEALTH CARE, INC
- **Other names:** Augusta Medical Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1245489590
- **Legal business name:** AUGUSTA HEALTH CARE, INC
- **Authorized official:** MARY N MANNIX (FACHE)
- **Authorized official phone:** (540) 932-4000

## Contact information

- **Practice address:** 78 MEDICAL CENTER DR, FISHERSVILLE, VA 22939-2332
- **Practice address phone:** (540) 932-5162
- **Practice address fax:** (540) 932-4616
- **Mailing address:** PO BOX 388, FISHERSVILLE, VA 22939-0388
- **Mailing address phone:** (540) 932-5162
- **Mailing address fax:** (540) 932-4616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/11/2008
- **Last updated:** 07/25/2013