Organization
THE BREAST HEALTH CLINIC, PC.
Active
Other names
FKA Stephen P. Auda, M.D., P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN PETER AUDA M.D. (PRESIDENT)
(770) 461-1337
Entity
Organization
Contact information
Practice address
325 NORTH JEFF DAVIS DRIVE, FAYETTEVILLE, GA 30214
(770) 461-1337
(770) 461-0922
Mailing address
325 NORTH JEFF DAVIS DRIVE, FAYETTEVILLE, GA 30214
(770) 461-1337
(770) 461-0922
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
208600000X
Surgery Physician
Primary
020653
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00186392A
—
GA
Enumeration date
04/06/2007
Last updated
10/25/2011
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