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Organization
AUGUSTA ENT PC
Active
Organization
AUGUSTA ENT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH A LYNN (CEO)
(706) 868-5676
Entity
Organization
Contact information
Practice address
74 PHYSICIAN DR, AIKEN, SC 29801-6388
(706) 868-5676
(706) 722-2824
Mailing address
340 N BELAIR RD, EVANS, GA 30809-3000
(706) 868-5676
(706) 722-2824
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
NULL
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
10/29/2015
Last updated
10/30/2015
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