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Organization
LCA AUGUSTA LLC
Active
Organization
LCA AUGUSTA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW CRUMRINE (OWNER)
(706) 306-4588
Entity
Organization
Contact information
Practice address
1831 CENTRAL AVE, AUGUSTA, GA 30904-5734
(706) 739-5822
Mailing address
1831 CENTRAL AVE, AUGUSTA, GA 30904-5734
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/02/2019
Last updated
06/02/2019
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