Organization
SAVANNAH RIVER ADVANCED SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAQUITO MARIO JORGE MD (CEO AND FOUNDER)
(312) 523-1424
Entity
Organization
Contact information
Practice address
1109 MEDICAL CENTER DR STE 3, AUGUSTA, GA 30909-6644
(803) 220-1716
Mailing address
728 MICHAELS CRK, EVANS, GA 30809-4042
(202) 430-5326
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
03/23/2026
Last updated
06/05/2026
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