Organization
UNIVERSITY PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI I LEE CMOM, CMIS (PRACTICE MANAGER)
(706) 774-5995
Entity
Organization
Contact information
Practice address
820 SAINT SEBASTIAN WAY, 4C, AUGUSTA, GA 30901-2643
(706) 774-5995
(706) 774-5996
Mailing address
820 SAINT SEBASTIAN WAY, 4C, AUGUSTA, GA 30901-2643
(706) 774-5995
(706) 774-5996
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
023500
GA
Other
Enumeration date
05/08/2007
Last updated
08/05/2009
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