Organization
MIT AMBULATORY CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONNIE REEVES (BILLING MANAGER)
(912) 691-0333
Entity
Organization
Contact information
Practice address
208 PITCARIN WAY, AUGUSTA, GA 30909-5766
(912) 691-0333
(912) 691-1889
Mailing address
PO BOX 13663, SAVANNAH, GA 31416-0663
(912) 691-0333
(912) 691-1889
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/02/2006
Last updated
08/22/2020
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