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Organization
WEST AUGUSTA PEDIATRICS PC
Active
Organization
WEST AUGUSTA PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI A COOK (PRACTICE MANAGER)
(706) 868-1906
Entity
Organization
Contact information
Practice address
1215 W WHEELER PKWY, AUGUSTA, GA 30909-1899
(706) 868-1906
(706) 868-0150
Mailing address
1215 W WHEELER PKWY, AUGUSTA, GA 30909-1899
(706) 868-1906
(706) 868-0150
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN207064
GA
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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