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Organization
AUGUSTA UNIVERSITY
Active
Organization
AUGUSTA UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE THOMPSON (DELEGATED OFFICAL)
(706) 721-5505
Entity
Organization
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-6597
Mailing address
1499 WALTON WAY, STE 1400, AUGUSTA, GA 30901-2602
(706) 721-6597
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
11/29/2006
Last updated
12/04/2019
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