Organization
MEDEX ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LACY ANDERSON (CREDENTIALING MANAGER)
(706) 434-1590
Entity
Organization
Contact information
Practice address
811 13TH STREET, SUITE 10, AUGUSTA, GA 30901
(706) 434-1590
(706) 434-1595
Mailing address
811 13TH STREET, SUITE 10, AUGUSTA, GA 30901
(706) 434-1590
(706) 434-1595
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/31/2009
Last updated
12/29/2011
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