Organization
UNIVERSITY CRITICAL CARE MEDICINE LLC
Active
Other names
University Critical Care
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE BELKOSKI (EXECUTIVE VP, CFO)
(706) 774-7263
Entity
Organization
Contact information
Practice address
1350 WALTON WAY, AUGUSTA, GA 30901-2612
(706) 774-5795
(706) 774-5792
Mailing address
PO BOX 1705, AUGUSTA, GA 30903-1705
(706) 774-7263
(706) 774-7230
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
06/06/2013
Last updated
07/03/2013
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