Organization
AUGUSTA RETINA CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOHAIL KHAN M.D. (PRESIDENT)
(706) 589-5361
Entity
Organization
Contact information
Practice address
1701 MAGNOLIA WAY, SUITE 201, AUGUSTA, GA 30909-9483
(706) 589-5361
Mailing address
1715 MAGNOLIA WAY, AUGUSTA, GA 30909-9482
(706) 589-5361
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
61106
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01149235
MEDICARE PTAN
TX
Enumeration date
11/05/2014
Last updated
06/20/2024
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