Organization
AUGUSTA UROLOGY SURGICENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA G. FLOWERS (BUSINESS MANAGER)
(706) 724-4111
Entity
Organization
Contact information
Practice address
811 13TH STREET, SUITE 17, AUGUSTA, GA 30901-2700
(706) 724-4111
(706) 823-0533
Mailing address
811 13TH STREET, SUITE 17, AUGUSTA, GA 30901-2700
(706) 724-4111
(706) 823-0533
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
121-153
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00809509A
—
GA
Enumeration date
04/28/2006
Last updated
01/11/2012
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