Individual
DR. ERIKA SIMMERMAN MABES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-3052
(706) 721-7501
Mailing address
1120 15TH ST # OR6000, AUGUSTA, GA 30912-0004
(706) 721-3813
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
006171
GA
208600000X
Surgery Physician
83419
SC
208600000X
Surgery Physician
Primary
87542
GA
2086S0122X
Plastic and Reconstructive Surgery Physician
11020514A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/25/2013
Last updated
03/12/2024
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