Individual
GRACE A PILCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
820 SAINT SEBASTIAN WAY STE 4C, AUGUSTA, GA 30901-2638
(706) 774-5995
(706) 774-5996
Mailing address
820 SAINT SEBASTIAN WAY STE 4C, AUGUSTA, GA 30901-2638
(706) 774-5995
(706) 774-5996
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
048515
GA
2084N0400X
Neurology Physician
Primary
48515
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000859856C
—
GA
05
—
GA1387
—
SC
01
—
P00905201
RAILROAD MEDICARE
GA
Enumeration date
01/24/2006
Last updated
11/26/2019
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