Organization
LARRY H PIERCE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY H PIERCE MD (CEO)
(706) 863-3831
Entity
Organization
Contact information
Practice address
1267 INTERSTATE PKWY, AUGUSTA, GA 30909-6481
(706) 863-3831
(706) 863-3832
Mailing address
1267 INTERSTATE PKWY, AUGUSTA, GA 30909-6481
(706) 863-3831
(706) 863-3832
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071703078
RAILROAD MEDICARE
GA
01
—
1952495558
BCBS OF GEORGIA
GA
Enumeration date
10/24/2007
Last updated
03/26/2008
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