Organization
AUGUSTA ENT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAMMIE LEE SPARKS CPC (BILLING SUPERVISOR)
(706) 868-5676
Entity
Organization
Contact information
Practice address
315 FLUKER ST, THOMSON, GA 30824-2108
(706) 868-5676
(706) 722-2824
Mailing address
340 N BELAIR RD, EVANS, GA 30809-3000
(706) 868-5676
(706) 722-2824
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/02/2007
Last updated
05/14/2008
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