Individual
RELPHA ESCALONA-CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1113 GARREDD BLVD STE B, AUGUSTA, GA 30909-6674
(706) 868-0919
(706) 868-0929
Mailing address
786 LOCKS WAY, MARTINEZ, GA 30907-4976
(706) 231-5993
(706) 868-0929
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
051131
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000940354A
—
GA
05
—
000940354C
—
GA
05
—
000940354D
—
GA
05
—
000940354E
—
GA
05
—
GA1138
—
SC
Enumeration date
10/18/2005
Last updated
11/04/2011
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