Individual
DR. TODD ALLEN MAUGANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 15TH ST # BI3088, AUGUSTA, GA 30912-2946
(407) 757-6474
Mailing address
PO BOX 191, PROVIDER ENROLLMENT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
35-083940
OH
207T00000X
Neurological Surgery Physician
87088
SC
207T00000X
Neurological Surgery Physician
Primary
ME112747
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2461858
—
OH
05
—
GA2550
—
SC
Enumeration date
06/24/2006
Last updated
10/07/2022
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