Organization
AUGUSTA ORTHOPAEDIC CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODY BUGG (OFFICE MANAGER)
(706) 733-1107
Entity
Organization
Contact information
Practice address
1521 ANTHONY RD, AUGUSTA, GA 30904-4821
(706) 733-1107
(706) 733-8449
Mailing address
1521 ANTHONY RD, AUGUSTA, GA 30904-4821
(706) 733-1107
(706) 733-8449
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GPA942
—
SC
Enumeration date
03/29/2006
Last updated
10/10/2007
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