Organization
AUGUSTA NEUROSCIENCE PC
Active
Organization
AUGUSTA NEUROSCIENCE PC
Active
Other names
AUGUSTA BACK
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REGINALD HILL (PRACTICE ADMINISTRATOR)
(706) 722-6957
Entity
Organization
Contact information
Practice address
840 STEVENS CREEK ROAD, AUGUSTA, GA 30907
(706) 722-6957
(706) 722-1999
Mailing address
840 STEVENS CREEK ROAD, AUGUSTA, GA 30907
(706) 722-6957
(706) 722-1999
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
059596
GA
208VP0014X
Interventional Pain Medicine Physician
—
—
225100000X
Physical Therapist
PT005715
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
537060748A
—
GA
01
—
DF7978
RAILROAD MEDICARE
GA
05
—
GPA933
—
SC
Enumeration date
03/22/2007
Last updated
11/05/2012
Update your record
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