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Individual

DR. HAROLD DOUGLAS HUBERT III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
701 GREENE ST STE 200, AUGUSTA, GA 30901-2385
(706) 722-6900
(706) 722-5118
Mailing address
701 GREENE ST STE 200, AUGUSTA, GA 30901-2385
(706) 722-6900
(706) 722-5118

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
063355
GA
207RN0300X
Nephrology Physician
Primary
LL31177
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1417171307
SC
05
464300070A
GA
05
464300070B
GA
05
464300070C
GA
05
464300070D
GA
05
464300070E
GA
05
464300070F
GA
05
464300070G
GA
05
464300070H
GA
05
464300070I
GA
05
464300070J
GA
05
464300070K
GA
05
464300070L
GA
05
464300070M
GA
05
464300070N
GA
05
464300070O
GA
05
464300070P
GA
05
464300070Q
GA
05
464300070R
GA
05
464300070S
GA
05
464300070T
GA
05
464300070U
GA
05
464300070V
GA
05
464300070W
GA
05
464300070X
GA
05
464300070Y
GA
05
464300070Z
GA
Enumeration date
04/12/2007
Last updated
06/08/2021
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