# AUGUSTA UROLOGY ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AUGUSTA UROLOGY ASSOCIATES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1922750462
- **Legal business name:** AUGUSTA UROLOGY ASSOCIATES
- **Authorized official:** AMANDA ALLEY (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (706) 722-0705

## Contact information

- **Practice address:** 4350 TOWNE CENTRE DR STE 2200, EVANS, GA 30809-3346
- **Practice address phone:** (706) 722-0705
- **Mailing address:** 4350 TOWNE CENTRE DR STE 2200, EVANS, GA 30809-3346
- **Mailing address phone:** (706) 722-0705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1835X0200X | Oncology Pharmacist | — | NULL | — |
| 1835X0200X | Oncology Pharmacist | — | — | — |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 01/26/2022
- **Last updated:** 08/23/2024