Individual
DR. PRESTON DEWITT CONGER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2426
Mailing address
1499 WALTON WAY, SUITE 1400, AUGUSTA, GA 30901-2602
(706) 828-8402
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
026086
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110011010
RAILROAD MEDICARE
SC
05
—
119516
—
SC
Enumeration date
10/12/2006
Last updated
06/24/2011
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