Organization
AUGUSTA UNIVERSITY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AZEEM ABDUL MOHAMMED (MD)
(917) 536-1243
Entity
Organization
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2861
Mailing address
162 FIOLI CIR, GRANITEVILLE, SC 29829-3986
(917) 536-1243
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0101254349
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124258843
—
NY
Enumeration date
03/14/2017
Last updated
03/14/2017
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