Organization
PEDIATRIC PARTNERS OF AUGUSTA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH AFFET (PRACTICE MANGER)
(706) 854-2500
Entity
Organization
Contact information
Practice address
411 TOWN PARK BLVD, EVANS, GA 30809-3487
(706) 854-2500
(706) 854-2559
Mailing address
PO BOX 1758, EVANS, GA 30809-1758
(706) 854-2500
(706) 854-2559
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085001130G
—
GA
05
—
85000031G
—
GA
Enumeration date
08/23/2006
Last updated
01/23/2024
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