Individual
DR. ERNESTO ANDRES SEPULVEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, DEPARTMENT OF ANESTHESIA, AUGUSTA, GA 30912
(706) 721-3871
Mailing address
3029 POINTEWEST DR, AUGUSTA, GA 30909-4802
(787) 315-9030
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
88674
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2015
Last updated
06/03/2021
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