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Individual

ROGER A VEGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-3626
(706) 721-2643
Mailing address
1499 WALTON WAY, STE 1400, AUGUSTA, GA 30901-2602
(706) 724-6100

Taxonomy

Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
026403
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000288736E
GA
05
Q26403
SC
Enumeration date
08/31/2006
Last updated
04/01/2011
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