Organization
WEST GEORGIA ORTHODONTICS
Active
Organization
WEST GEORGIA ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEGGY H AUGUSTINE D.D.S., P.C. (OWNER ORTHODONTIST)
(706) 660-0221
Entity
Organization
Contact information
Practice address
3645 GENTIAN BLVD, SUITE 2, COLUMBUS, GA 31907-5687
(706) 660-0221
(706) 660-0132
Mailing address
3645 GENTIAN BLVD, SUITE 2, COLUMBUS, GA 31907-5687
(706) 660-0221
(706) 660-0132
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
012299
GA
Other
Enumeration date
01/09/2007
Last updated
06/17/2008
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