Organization
MEDEX ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HETAL THAKORE M.D. (INTERNIST)
(706) 434-1590
Entity
Organization
Contact information
Practice address
630 13TH ST STE 100, AUGUSTA, GA 30901-1016
(706) 434-1590
(706) 434-1595
Mailing address
630 13TH ST STE 100, AUGUSTA, GA 30901-1016
(706) 434-1590
(706) 434-1595
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
005657
GA
283X00000X
Rehabilitation Hospital
Primary
005657
GA
Other
Enumeration date
11/02/2009
Last updated
11/02/2009
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