Organization
SAMANA ZULU MD FACS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JARMAUR R STALLINGS (PRACTICE MANAGER)
(706) 737-7922
Entity
Organization
Contact information
Practice address
2320 WRIGHTSBORO RD, AUGUSTA, GA 30904-6233
(706) 737-7922
(706) 737-7968
Mailing address
2320 WRIGHTSBORO RD, AUGUSTA, GA 30904-6233
(706) 737-7922
(706) 737-7968
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
059943
GA
Other
Enumeration date
12/17/2009
Last updated
12/17/2009
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