Organization
AUGUSTA HYPERTENTION, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE H KAESEMEYER M.D. (OWNER)
(706) 722-4688
Entity
Organization
Contact information
Practice address
1021 15TH ST STE 2, BIO TECH PARK, AUGUSTA, GA 30901-3112
(706) 722-4688
(706) 722-8194
Mailing address
PO BOX 3545, AUGUSTA, GA 30914-3545
(706) 868-0131
(706) 854-0131
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
022800
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00224331G
—
GA
Enumeration date
01/29/2007
Last updated
08/22/2020
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