Organization
BURN ICU, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE C FRIEDMAN M.D. (PARTNER)
(706) 339-3975
Entity
Organization
Contact information
Practice address
3651 WHEELER RD, AUGUSTA, GA 30909-6521
(706) 651-6661
(706) 504-4639
Mailing address
PO BOX 16187, AUGUSTA, GA 30919-2187
(706) 504-4651
(706) 504-4639
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
GA
Other
Enumeration date
05/25/2011
Last updated
08/11/2011
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